Villarreal-Jiménez A, Portales-Castanedo A, Padua y Gabriel A, Cícero-Sabido R
Departamento de Neumología, Centro Médico Torreón, IMSS, Coah.
Gac Med Mex. 1998 Jan-Feb;134(1):97-102.
Three patients with invasive thymoma and superior vena cava syndrome with severe symptoms of cerebral venous hypertension and respiratory obstruction are presented. Two patients showed a type I obstruction and the other had a type II obstruction as defined by Stanford and Doty. In all of them, the tumor was resected and a graft bypass was placed between the left innominate vein and the right appendage. In two patients the grafts were venous and in the other it was a PTFE. All grafts were reinforced with wire rings. The patients improved and the symptoms of the SVCS disappeared, the average time of permeability was 10 months.
本文介绍了3例侵袭性胸腺瘤合并上腔静脉综合征的患者，这些患者伴有严重的脑静脉高压和呼吸阻塞症状。根据斯坦福和多蒂的定义，2例患者表现为I型阻塞，另1例为II型阻塞。所有患者均接受了肿瘤切除术，并在左无名静脉和右心耳之间进行了移植搭桥。2例患者使用的是静脉移植物，另1例使用的是聚四氟乙烯（PTFE）。所有移植物均用钢丝环加强。患者病情改善，上腔静脉综合征症状消失，平均通畅时间为10个月。
