Cardiac Tamponade due to a Ruptured Solitary Mediastinal Varix: A Case Report

Authors

  • Toshio Kaneda
  • Masahiko Onoe
  • Soji Moriwaki
  • Shin Kadota
  • Osamu Baba
  • Mitsuo Matsuda
  • Eiji Kadota
  • Toshihiko Saga

DOI:

https://doi.org/10.1532/HSF98.20061185

Abstract

Mediastinal varix is rare. Some reports have noted that the mediastinal vein can become varicose in cases of portal hypertension or obstruction of the vena cava. However, solitary mediastinal varices without portal hypertension or obstruction of the vena cava are very rare. Mediastinal varicose veins have been problematic as pseudotumors, as no symptoms have been described in the literature. We encountered a case of cardiac tamponade due to a ruptured solitary mediastinal varicose vein. To the best of our knowledge, this is the first report of sustained symptomatic mediastinal varicose vein.

References

Ascher E. 2004. Varicose veins. In: Haimovici's Vascular Surgery. 5th ed. Ascher E, Hollier L, Strandness DE, eds. Malden, MA; Blackwell Publishing: 1058-9.nLee S-Y, Kuo H-T, Peng M-J, et al. 2005. Azygos vein varix mimicking mediastinal mass in a patient with liver cirrhosis. A case report. Chest 127:661-4.nNakamura T, Wakisaka M, Ohkubo H, Takagishi H. 1991. A case of solitary varices arising from the retroperitoneum. Urol Int 47:90-3.nPop D, Venissac N, Leo F, Ducreus D, Padovani B, Mouroux J. 2005. Varicose pericardial vein: an unusual cause of right paracardiac opacity. J Thorac Cardiovasc Surg 129:448-9.nRacette S, Sauvageau A. 2005. Unusual sudden death. Two case reports of hemorrhage by rupture of varicose veins. Am J Forensic Med Pathol 26:294-6.nRoda JM, Bencosme J, Isla A, Blazquez MG. 1998. Intraventricular varix causing hemorrhage. Case report. J Neurosurg 68:472-3.n

Published

2007-03-27

How to Cite

Kaneda, T., Onoe, M., Moriwaki, S., Kadota, S., Baba, O., Matsuda, M., Kadota, E., & Saga, T. (2007). Cardiac Tamponade due to a Ruptured Solitary Mediastinal Varix: A Case Report. The Heart Surgery Forum, 10(3), E199-E201. https://doi.org/10.1532/HSF98.20061185

Issue

Section

Article