Left brachiocephalic vein aneurysm: a case report

Surgical Case Reports

Masato Mutsuga¹  Harushi Ueno²  Tomoshi Sugiyama²  Takayuki Fukui²  Shota Nakamura²  Mari Yazawa²  Hideki Tsubouchi²  Keita Nakanishi²  Naoki Ozeki²  Masaki Goto²  Toyofumi Fengshi Chen Yoshikawa²  Yuka Kadomatsu² 

[1] Department of Cardiac Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, 466-8550, Nagoya, Japan;Department of Thoracic Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, 466-8550, Nagoya, Japan;

关键词: Left brachiocephalic vein;    Innominate vein;    Venous aneurysm;   

DOI  :  10.1186/s40792-021-01148-0

来源: Springer

【 摘 要 】

BackgroundAneurysm of the left brachiocephalic vein is a very rare clinical disease and only 40 cases have been reported so far.Case presentationThe patient was a 61-year-old woman with no related medical history. She underwent CT to investigate the cause of a cough and a mass was noted in the anterior mediastinum. Dynamic computed tomography with contrast medium injected into the left basilic vein demonstrated the venous aneurysm with blood flow to the left brachiocephalic vein. The patient had no symptoms, but because of the risk of pulmonary infarction and aneurysm rupture, the aneurysm was surgically resected. A median sternotomy was a reasonable approach because of the fragility of the venous aneurysm wall with little working space in the anterior mediastinum.ConclusionsWe diagnosed an aneurysm of the left brachiocephalic vein on preoperative imaging and excised it through a median sternotomy. The venous wall was thin and fragile in some areas and so this approach was appropriate in view of the possibility of intraoperative injury.

【 授权许可】

CC BY