Hines G L
J Cardiovasc Surg (Torino). 1981 Jul-Aug;22(4):349-52.
Two cases of disinsertion of the left innominate vein from the superior vena cava (S.V.C.) during primary median sternotomy have been encountered during the past 6 years. Methods of management consisting of either (1) ligation and division of the left innominate vein and patch angioplasty of the SVC injury, or (2) patch angioplasty of the disinsertion injury itself with preservation of the left innominate vein are presented. The rationale and possible complications of each method of treatment are discussed based on the anatomy and collateral circulation of the left innominate vein and other experiences with division of the left innominate vein.
在过去6年中，我们遇到了2例在初次正中胸骨切开术期间左无名静脉从上腔静脉（SVC）离断的病例。本文介绍了两种处理方法：（1）结扎并切断左无名静脉，对上腔静脉损伤进行补片血管成形术；（2）保留左无名静脉，对离断损伤本身进行补片血管成形术。基于左无名静脉的解剖结构、侧支循环以及其他左无名静脉切断的经验，讨论了每种治疗方法的理论依据和可能的并发症。
