Brachiocephalic Vein Aneurysm Treated with Surgery: A Case Report
DOI:
https://doi.org/10.1532/hsf.2571Keywords:
Brachiocephalic veins, Aneurysm, SternotomyAbstract
Brachiocephalic vein aneurysm is an extremely rare condition of unknown origin. It may be asymptomatic, presenting as an incidental finding or as a result of complications it causes. We report a case of a 54-year-old man who was asymptomatic and diagnosed with an isolated saccular aneurysm of the left brachiocephalic vein using contrast-enhanced computed tomography. The patient underwent aneurysmectomy through a median sternotomy with no requirement for a vascular graft or cardiopulmonary bypass. The patient had an uneventful postoperative course and remained well two months after the surgery.
References
Aggarwal R. Gautam R, Jhamb D, Sivasankar R. 2017. Diagnosing thoracic venous aneurysm: A contemporary imaging perspective. Indian Journal of Radiology and Imaging 27(3):350-353.
Akibaa T, Morikawab T, Hirayamaa S, Ohki T. 2012. Thymic haemangioma presenting with a left innominate vein aneurysm: insight into the aetiology. Interactive CardioVascular and Thoracic Surgery 15: 925–927.
Bansal K, Deshmukh H, Popat B, Rathod K. 2010. Isolated left brachiocephalic vein aneurysm presenting as a symptomatic mediastinal mass. Journal of Medical Imaging and Radiation Oncology 54:462–464.
Bartline PB, McKellar SH, Kinikini DV. 2016. Resection of a Large Innominate Vein Aneurysm in a Patient with Neurofibromatosis Type 1. Ann Vasc Surg 30:157.e1–157.e5.
Buehler MA, Ebrahim FS, Popa TO. 2013. Left Innominate Vein Aneurysm: Diagnostic Imaging and Pitfalls. Int J Angiol 22:127–130.
Dua SG, Kulkarni AV, Purandare NC, Kulkarni S. 2011. Isolated left innominate vein aneurysm: A rare cause of mediastinal widening. Journal of Postgraduate Medicine 57(1):40-41.
Galvaing G, Gaudin M, Medous MT, Filaire M, Ferrand C, Vichy. 2018. Left Brachiocephalic Venous Aneurysm: A Rare Clinical Finding Ann Vasc Surg 48:253.e5–253.e6.
Gozdziuk K, Czekajska-Chehab E, Wrona A, Tomaszewski A, Drop A. 2004. Saccular aneurysm of the superior vena cava detected by computed tomography and successfully treated with surgery. Ann Thorac Surg 78:e94 –5.
Gu¨ney B, Demirpolat G, Savas¸ R, Alper H. 2004. An unusual cause of mediastinal widening: bilateral innominate vein aneurysms. Acta Radiol 45:266–268.
Haniuda M, Numanami H, Makiuchi A, Yamanda T, Imai Y, Sone S. 2000. Solitary Aneurysm of the Innominate Vein. Journal of Thoracic Imaging 15:205–207.
Harris RI. 1928. Congenital venous cyst of the mediastinum. Ann Surg 88:953-956.
Hosaka A, Kato M, Kato I, Isshiki S, Okubo N. 2011. Brachiocephalic venous aneurysm with unusual clinical observations. J Vasc Surg 54:77S-9S.
Hosein RB, Butler K, Jones T, Brawn WJ, Barron DJ. 2007. Innominate Venous Aneurysm Presenting as a Rapidly Expanding Mediastinal Mass. Ann Thorac Surg 84:640 –2.
Huang W, Jiang GN. 2017. A rare case of left innominate vein aneurysm mimicking thymoma. Interactive Cardiovascular and Thoracic Surgery 25:669–670.
Lohrenz C, Ruckner D, Wintzer O, Fengels WG, Meierling S. 2018. Large left innominate vein aneurysm presenting as an anterior mediastinal tumor in a young female. Vasa 47(6):515–517.
Nakada T, Akiba T, Inagaki T, Morikawa T, Ohki T. 2015. Thymic Cavernous Hemangioma With a Left Innominate Vein Aneurysm. Ann Thorac Surg 100:320–2.
Ream CR, Giardina A. 1972. Congenital superior vena cava aneurysm with complications caused infectious mononucleosis. Chest 62:755-7.
Sakai M, Kanzaki R, Kozuka T, et al. 2011. Left Innominate Venous Aneurysm Presenting as an Anterior Mediastinal Mass. Ann Thorac Surg 91:1995.
San NEM, Gutierrez VM, Revilla A, Vaquero C. 2010. Subclavian venous aneurysm: endovascular treatment. J Vasc Intervent Radiol 21:1306-8.
Sayed SA, Sahu D, Khandekar J, Jadhav U. 2013. Large aneurysm of innominate vein: Extremely rare cause of meidastinal mass. Indian J Thorac Cardiovasc Sirg 26:198-9.
Schatz IJ, Fine G. 1962. Venous aneurysms. N Engl J Med 266:1310-2.
Schild H, Berg S, Weber W, Schmied W, Steegmuller KW. 1992. The venous aneurysm. Aktuelle Radiol 2:75-80.
Taira A, Akita H. 1981. Ruptured venous aneurysm of the persistent left superior vena cava. Angiology 32:656-659.
Taira A, Akita H. 1981. Ruptured venous aneurysm of the persistent left superior vena cava. Angiology 32:656-9.
