起搏器导联植入后上腔静脉综合征的外科重建。

IF 0.6 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

Indian Journal of Thoracic and Cardiovascular Surgery Pub Date : 2025-10-01 Epub Date: 2025-07-19 DOI:10.1007/s12055-025-02006-6

Michele D'Alonzo, Mariantonietta Piscitelli, Michela Romandini, Francesco Cilia, Antonio Fiore

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引用次数: 0

摘要

起搏器相关上腔静脉（SVC）综合征，由沿起搏器导联纤维化引起，在一名65岁的慢性肾衰竭和房颤女性中被发现。由于血栓形成，最初两次血管搭桥治疗失败，导致症状复发。随后进行手术干预，包括奇静脉下SVC重建心包贴片和三尖瓣同步修复。本病例说明了与起搏器诱发的SVC综合征相关的挑战，并证明了重建手术的潜在优势，通过恢复静脉解剖，可以改善在经验丰富的中心进行的长期结果。

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Surgical reconstruction for superior vena cava syndrome following pacemaker lead implantation.

Pacemaker-related superior vena cava (SVC) syndrome, caused by fibrosis along pacemaker leads, was identified in a 65-year-old woman with chronic renal failure and atrial fibrillation. Initial management with two vascular bypass grafts failed due to thrombosis, resulting in symptom recurrence. Surgical intervention was subsequently performed, involving SVC reconstruction below the azygos vein with a pericardium patch and concurrent tricuspid valve repair. This case illustrates the challenges associated with pacemaker-induced SVC syndrome and demonstrates the potential advantages of reconstructive surgery, which, by restoring venous anatomy, may improve long-term outcomes when performed in an experienced center.

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来源期刊

Indian Journal of Thoracic and Cardiovascular Surgery CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

1.20

自引率

14.30%

发文量

141

期刊介绍： The primary aim of the Indian Journal of Thoracic and Cardiovascular Surgery is education. The journal aims to dissipate current clinical practices and developments in the area of cardiovascular and thoracic surgery. This includes information on cardiovascular epidemiology, aetiopathogenesis, clinical manifestation etc. The journal accepts manuscripts from cardiovascular anaesthesia, cardiothoracic and vascular nursing and technology development and new/innovative products.The journal is the official publication of the Indian Association of Cardiovascular and Thoracic Surgeons which has a membership of over 1000 at present.DescriptionThe journal is the official organ of the Indian Association of Cardiovascular-Thoracic Surgeons. It was started in 1982 by Dr. Solomon Victor and ws being published twice a year up to 1996. From 2000 the editorial office moved to Delhi. From 2001 the journal was extended to quarterly and subsequently four issues annually have been printed out at time and regularly without fail. The journal receives manuscripts from members and non-members and cardiovascular surgeons. The manuscripts are peer reviewed by at least two or sometimes three or four reviewers who are on the panel. The manuscript process is now completely online. Funding the journal comes partially from the organization and from revenue generated by subscription and advertisement.