Simultaneous lateral and subxiphoid access methods for safe and accurate resection of a superior vena cava aneurysm:A case report
作者机构：Department of Thoracic and Cardiovascular SurgeryKyunghee University HospitalSeoul 02447South Korea Department of Thoracic and Cardiovascular SurgeryPusan National University Yangsan HospitalYangsan-si 50612South Korea
出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)
年 卷 期：2023年第11卷第31期
页 面：7635-7639页
核心收录：
学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学]
基 金：Pusan National University Yangsan Hospital
主 题：Aneurysm Cardiopulmonary bypass Superior vena cava Minimal invasive surgery Video assisted thoracic surgery Case report
摘 要：BACKGROUND Superior vena cava(SVC)aneurysms are a relatively uncommon disease that has not been widely *** conventional surgical approach for treating SVC aneurysms includes open thoracotomy and ***,in this case,the aneurysm could be safely resected by thoracoscopic simultaneous lateral and subxiphoid access *** SUMMARY A 58-year-old male presented with intermittent chest pain and persistent discomfort in the chest area.A chest computed tomography scan revealed a 6.2 cm aneurysm in the left innominate vein and SVC *** surgical resection,simultaneous lateral and subxiphoid access were planned to achieve optimal proximal and distal aneurysm *** approach site was 1 cm below the xiphoid process,the fifth mid-axillary line and the seventh anterior axillary line on the right *** aneurysm was resected using a *** patient was discharged on the third day after chest tube removal on the second postoperative day with no particular *** Aneurysms located within the mediastinum can be accessed through thoracoscopic approach without open surgery and safely resected using vascular staples.
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