Mastroroberto P, Chello M, Bevacqua E, Marchese A R
Department of Experimental and Clinical Medicine, Cardiovascular Surgery Unit, Medical School of Catanzaro, Italy.
J Cardiovasc Surg (Torino). 1996 Jun;37(3):323-4.
A case of pericardial cyst with partial erosion of the superior vena cava occasionally discovered is presented. The involvement of the vein was found on operation and the excision of the cyst was performed without cardiopulmonary bypass, repairing the vena cava by a direct suture. The pathologic examination showed multiple areas of acute and chronic inflammation without signs of infection. This exceedingly rare report indicates that both computed tomography and magnetic resonance are useful to localize the mediastinal mass and to characterize the cystic content. The cardiopulmonary bypass must be available to allow an easy repair of the structures possibly involved particularly in the case of infection.
本文报告1例偶然发现的心包囊肿伴上腔静脉部分侵蚀病例。术中发现静脉受累，在非体外循环下切除囊肿，通过直接缝合修复上腔静脉。病理检查显示多个急性和慢性炎症区域，无感染迹象。这份极其罕见的报告表明，计算机断层扫描和磁共振成像对于纵隔肿块的定位以及囊肿内容物的特征描述均有帮助。必须具备体外循环条件，以便在可能累及结构时，尤其是在感染情况下能轻松进行修复。
