©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Nov 6, 2023; 11(31): 7635-7639
Published online Nov 6, 2023. doi: 10.12998/wjcc.v11.i31.7635
Published online Nov 6, 2023. doi: 10.12998/wjcc.v11.i31.7635
Simultaneous lateral and subxiphoid access methods for safe and accurate resection of a superior vena cava aneurysm: A case report
Sang Pil Kim, Department of Thoracic and Cardiovascular Surgery, Kyunghee University Hospital, Seoul 02447, South Korea
Joohyung Son, Department of Thoracic and Cardiovascular Surgery, Pusan National University Yangsan Hospital, Yangsan-si 50612, South Korea
Author contributions: Son J contributed to manuscript writing; Kim SP contributed to manuscript and figure editing; all authors have read and approved the final manuscript.
Informed consent statement: Informed consent was obtained from the patient for the publication of the findings of the present case study and related images.
Conflict-of-interest statement: All the authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Corresponding author: Joohyung Son, MD, Assistant Professor, Department of Thoracic and Cardiovascular Surgery, Pusan National University Yangsan Hospital, Geumo-ro 20, Beomeo-ri, Mulgeum-eup, Yangsan-si, Gyeongsangnam-do, Republic of Korea, Yangsan-si 50612, South Korea. pnumed09@naver.com
Received: July 13, 2023
Peer-review started: July 13, 2023
First decision: September 25, 2023
Revised: October 10, 2023
Accepted: October 23, 2023
Article in press: October 23, 2023
Published online: November 6, 2023
Processing time: 116 Days and 6.2 Hours
Peer-review started: July 13, 2023
First decision: September 25, 2023
Revised: October 10, 2023
Accepted: October 23, 2023
Article in press: October 23, 2023
Published online: November 6, 2023
Processing time: 116 Days and 6.2 Hours
Core Tip
Core Tip: Superior vena cava (SVC) aneurysms, which are relatively rare, may be symptomatic or cause thrombotic events if large in size, often necessitating surgical intervention. The conventional surgical approach for treating SVC aneurysms includes open thoracotomy and mid-sternotomy. However, in this case, the aneurysm could be safely resected by thoracoscopic simultaneous lateral and subxiphoid access methods. The approach site was 1 cm below the xiphoid process, the fifth mid-axillary line and the seventh anterior axillary line on the right side. To facilitate surgery, CO2 insufflation was used. The aneurysm was safely resected with the use of a vascular staple.