Surgical Treatment of Superior Vena Cava Syndrome in a Preterm Neonate.

Safak Alpat, Melih Alma
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Abstract

Superior vena cava syndrome is rare and challenging clinical entity in neonates. Medical treatment options are usually effective. However, when failed, surgery is warranted. Herein, we present a preterm neonate with SVC syndrome and associated chylothorax. When 2 weeks old, he underwent successful open thrombectomy and SVC reconstruction under cardiopulmonary bypass. Immediately after the operation findings of SVC syndrome and chylotorax were completely resolved. To our knowledge, this patient is the smallest baby underwent open SVC reconstruction with cardiopulmonary bypass.

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早产新生儿上腔静脉综合征的手术治疗。
上腔静脉综合征是新生儿中罕见且具有挑战性的临床症状。药物治疗通常是有效的。但是,如果治疗无效,则需要进行手术治疗。在此,我们介绍一名患有上腔静脉综合征并伴有乳糜胸的早产新生儿。两周大时,他在心肺旁路下成功接受了开放性血栓切除术和 SVC 重建术。术后,SVC 综合征和乳糜胸症状立即完全消失。据我们所知,这名患者是在心肺旁路下接受开放式SVC重建术的最小婴儿。
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