Resection of mediastinal tumor combined with persistent left superior vena cava: A case report_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

XIANG Zongjun , ZHANG Fan , LI Lei , LU Yongguo , LI Xiaoming , MU Haide , ZHOU Xiaowei , YANG Linqi ,  WAN Zhiyu

Department of Thoracic Surgery, Guangyuan Central Hospital, Guangyuan, 628000, Sichuan, P. R. China;

Corresponding author：

WAN Zhiyu, Email: 785504793@qq.com

Keywords：

Persistent left superior vena cava; mediastinal tumor; thoracoscopic surgery; case report

DOI：

10.7507/1007-4848.202305047

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Persistent left superior vena cava is a rare venous variant that is often combined with cardiovascular malformations. In thoracic surgery, especially mediastinal tumor resection, neglect of this variant may make the surgery difficult and risky, and careful preoperative imaging interpretation and adequate preoperative evaluation play an important role in the perioperative safety of the patient. In this paper, we reported a case of a 17-year-old female patient with a persistent left superior vena cava combined with mediastinal tumors. She was successfully discharged 5 days after thoracoscopic surgery, and after 3 years of postoperative follow-up, no tumor recurrence was observed.

Citation： XIANG Zongjun, ZHANG Fan, LI Lei, LU Yongguo, LI Xiaoming, MU Haide, ZHOU Xiaowei, YANG Linqi, WAN Zhiyu. Resection of mediastinal tumor combined with persistent left superior vena cava: A case report. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2025, 32(7): 1044-1046. doi: 10.7507/1007-4848.202305047 Copy

1.	Chaoui R, Heling KS, Karl K. Ultrasound of the fetal veins part 2: Veins at the cardiac level. Ultraschall Med, 2014, 35(4): 302-318.
2.	曹群. 胎儿圆锥动脉干畸形与永存左上腔静脉的产前诊断结果和临床结局分析. 广州医科大学, 2022.Cao Q. Prenatal diagnosis and clinical outcomes of fetuses with conotruncal defects or persistent left superior vena cava. Guangzhou Medical University, 2022.
3.	唱宽, 毛志刚, 关国印. 前上纵隔巨大肿瘤手术治疗一例. 中国临床实用医学, 2015, 6(2): 74.Chang K, Mao ZG, Guan GY. Surgical treatment of a huge anterior superior mediastinal tumor: A case report. Chin J Clin Pract Med, 2015, 6(2): 74.
4.	张春敭, 赵松, 齐宇, 等. 经胸腔镜切除胸腺瘤合并永存左上腔静脉1例. 中华胸心血管外科杂志, 2015, 31(12): 762.Zhang CY, Zhao S, Qi Y, et al. Thoracoscopic resection of thymoma with persistent left superior vena cava: A case report. Chin J Thorac Cardiovasc Surg, 2015, 31(12): 762.
5.	Yanagiya M, Matsumoto J, Hashimoto H, et al. Surgery of thymic tumor with persistent left superior vena cava. Ann Thorac Cardiovasc Surg, 2017, 23(6): 316-319.
6.	Hato T, Fukuda H, Mitsutomo K, et al. Surgical resection of a thymoma developed in a case with isolated persistent left superior vena cava. Int J Surg Case Rep, 2022, 98: 107503.
7.	Cardwell M, Lu MS, Melamed J, et al. A case of unicentric castleman disease with concomitant myasthenia gravis and persistent left superior vena cava. Am J Case Rep, 2023, 24: e938305.
8.	刘芳, 杨敏, 顾小宁, 等. 彩色多普勒超声诊断胎儿永存左上腔静脉及相关畸形的临床意义. 中国超声医学杂志, 2015, 31(6): 534-536.Liu F, Yang M, Gu XN, et al. Clinical significance of persistent left superior vena cava and associated malformations in fetal diagnosed by color doppler ultrasound. Chin J Ultrasound Med, 2015, 31(6): 534-536.
9.	胡芬. 永存左上腔静脉起搏导线植入方法探讨. 浙江大学, 2016.Hu F. Operative approach of permanent pacemaker implantation in patients with persistent left superior vena cava. Zhejiang University, 2016.
10.	Azizova A, Onder O, Arslan S, et al. Persistent left superior vena cava: Clinical importance and differential diagnoses. Insights Imaging. 2020, 11(1): 110.

1. Chaoui R, Heling KS, Karl K. Ultrasound of the fetal veins part 2: Veins at the cardiac level. Ultraschall Med, 2014, 35(4): 302-318.
2. 曹群. 胎儿圆锥动脉干畸形与永存左上腔静脉的产前诊断结果和临床结局分析. 广州医科大学, 2022.Cao Q. Prenatal diagnosis and clinical outcomes of fetuses with conotruncal defects or persistent left superior vena cava. Guangzhou Medical University, 2022.
3. 唱宽, 毛志刚, 关国印. 前上纵隔巨大肿瘤手术治疗一例. 中国临床实用医学, 2015, 6(2): 74.Chang K, Mao ZG, Guan GY. Surgical treatment of a huge anterior superior mediastinal tumor: A case report. Chin J Clin Pract Med, 2015, 6(2): 74.
4. 张春敭, 赵松, 齐宇, 等. 经胸腔镜切除胸腺瘤合并永存左上腔静脉1例. 中华胸心血管外科杂志, 2015, 31(12): 762.Zhang CY, Zhao S, Qi Y, et al. Thoracoscopic resection of thymoma with persistent left superior vena cava: A case report. Chin J Thorac Cardiovasc Surg, 2015, 31(12): 762.
5. Yanagiya M, Matsumoto J, Hashimoto H, et al. Surgery of thymic tumor with persistent left superior vena cava. Ann Thorac Cardiovasc Surg, 2017, 23(6): 316-319.
6. Hato T, Fukuda H, Mitsutomo K, et al. Surgical resection of a thymoma developed in a case with isolated persistent left superior vena cava. Int J Surg Case Rep, 2022, 98: 107503.
7. Cardwell M, Lu MS, Melamed J, et al. A case of unicentric castleman disease with concomitant myasthenia gravis and persistent left superior vena cava. Am J Case Rep, 2023, 24: e938305.
8. 刘芳, 杨敏, 顾小宁, 等. 彩色多普勒超声诊断胎儿永存左上腔静脉及相关畸形的临床意义. 中国超声医学杂志, 2015, 31(6): 534-536.Liu F, Yang M, Gu XN, et al. Clinical significance of persistent left superior vena cava and associated malformations in fetal diagnosed by color doppler ultrasound. Chin J Ultrasound Med, 2015, 31(6): 534-536.
9. 胡芬. 永存左上腔静脉起搏导线植入方法探讨. 浙江大学, 2016.Hu F. Operative approach of permanent pacemaker implantation in patients with persistent left superior vena cava. Zhejiang University, 2016.
10. Azizova A, Onder O, Arslan S, et al. Persistent left superior vena cava: Clinical importance and differential diagnoses. Insights Imaging. 2020, 11(1): 110.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Resection of mediastinal tumor combined with persistent left superior vena cava: A case report

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