RUPTURED VENOUS ANEURYSM OF THE PERSISTENT LEFT SUPERIOR VENA-CAVA
RUPTURED VENOUS ANEURYSM OF THE PERSISTENT LEFT SUPERIOR VENA-CAVA
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DOI：
10.1177/000331978103200912
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发表时间：
1981-01-01
期刊：
影响因子：
2.8
通讯作者：
AKITA, H
中科院分区：
文献类型：
--
作者：
TAIRA, A;AKITA, H
报告一位24岁女性，患有永存左上级腔静脉及左锁骨下静脉之静脉瘤。自发性闭合性静脉瘤破裂，继发于血栓阻塞，发生在后纵隔和胸膜外胸壁。由于永存左上级和右上级腔静脉之间缺少交通静脉，症状迅速加重。由于入路困难，未考虑手术干预。幸运的是，没有发现静脉动脉瘤开放性破裂进入胸腔。保守治疗4个月。导致了一个成功的结果，吸收了大血肿和建立侧支循环。
A 24-yr-old female with venous aneurysm of the persistent left superior vena cava and the left subclavicular vein was reported. Spontaneous closed rupture of the venous aneurysm, secondary to thrombosed obstruction, occurred into the posterior mediastinum and the extrapleural throracic wall. The symptom was aggravated rapidly because of absent communicating vein between the persistent left superior and the right superior venae cavae. Surgical intervention was not considered for the reason of difficulty in approach. Fortunately an open rupture of the venous aneurysm into the thoracic cavity was not seen. A conservative treatment for 4 mo. resulted in a successful outcome with absorption of a large hematoma and building of collateral circulation.