Toeda H, Nomori H, Kameda T
Department of Surgery, Saiseikai Central Hospital, Tokyo, Japan.
Kyobu Geka. 1993 Jul;46(7):582-5.
The patient was a 58 years old female with invasive thymoma, which invaded the left brachiocephalic vein, left subclavian vein, pericardium and left lung. These invaded organs were resected with the tumor, and a vascular reconstruction was performed between the left axillary vein and the superior vena cava by means of an expanded polytetrafluoroethylene graft. In order to expose the entire length of the left brachiocephalic vein and left subclavian vein, anterolateral thoracotomy at the first intercostal space and resection of the first rib was performed in addition to the median sternotomy. This method can be used in the resection and reconstruction of a subclavian vein invaded by an anterior mediastinal tumor.
该患者为一名58岁女性，患有侵袭性胸腺瘤，肿瘤侵犯了左头臂静脉、左锁骨下静脉、心包和左肺。这些受侵犯的器官与肿瘤一并切除，并通过膨体聚四氟乙烯移植物在左腋静脉和上腔静脉之间进行了血管重建。为了暴露左头臂静脉和左锁骨下静脉的全长，除了正中胸骨切开术外，还在第一肋间间隙进行了前外侧开胸并切除了第一肋骨。该方法可用于前纵隔肿瘤侵犯锁骨下静脉的切除与重建。
