초록접수 현황
| 19F-171 | 포스터 발표 |
Brachiocephalic Vein Aneurysm Treated with Surgery: A Case Report
Juhyun Lee, Il-Yong Han, Young Chul Yoon, Yang-Haeng Lee, Jin Hong Wi
Department of Thoracic and Cardiovascular Surgery, Inje University Busan Paik Hospital, Inje University College of Medicine, Busan, Republic of Korea
Purpose : Brachiocephalic vein aneurysm is an extremely rare condition of unknown origin. Moreover, a few of them have discussed its surgical treatment. We report a case of a patient who had an isolate brachiocephalic vein aneurysm and underwent surgery successfully.
Methods : A 54-year-old asymptomatic man was referred to our department owing to a large mediastinal mass that was incidentally discovered on computed tomography without intravenous contrast. A contrast-enhanced CT revealed a large saccular dilatation of the left brachiocephalic vein. The aneurysm measured 62 x 38 mm. Surgery was proposed because of the risk of embolic events or rupture. A median sternotomy was performed. The aneurysm was carefully dissected, and its wide base was identified. It was subsequently opened longitudinally after cross-clamping of its base. Complete excision of the aneurysm was performed, leaving a 3.0-cm defect in the underside of the brachiocephalic vein. The defect in the underside of the vein was repaired with continuous suture using 5-0 nonabsorbable monofilament suture.
Results : Pathological examination of the aneurysm revealed no abnormality. The patient had an uneventful postoperative course and was discharged home on the postoperative day 4. He remained well 3 months after the surgery. A contrast-enhanced CT of his chest was obtained that showed the left brachiocephalic vein with normal flow.
Conclusion : We 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.
Methods : A 54-year-old asymptomatic man was referred to our department owing to a large mediastinal mass that was incidentally discovered on computed tomography without intravenous contrast. A contrast-enhanced CT revealed a large saccular dilatation of the left brachiocephalic vein. The aneurysm measured 62 x 38 mm. Surgery was proposed because of the risk of embolic events or rupture. A median sternotomy was performed. The aneurysm was carefully dissected, and its wide base was identified. It was subsequently opened longitudinally after cross-clamping of its base. Complete excision of the aneurysm was performed, leaving a 3.0-cm defect in the underside of the brachiocephalic vein. The defect in the underside of the vein was repaired with continuous suture using 5-0 nonabsorbable monofilament suture.
Results : Pathological examination of the aneurysm revealed no abnormality. The patient had an uneventful postoperative course and was discharged home on the postoperative day 4. He remained well 3 months after the surgery. A contrast-enhanced CT of his chest was obtained that showed the left brachiocephalic vein with normal flow.
Conclusion : We 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.
책임저자: Jin Hong Wi
Department of Thoracic and Cardiovascular Surgery, Inje University Busan Paik Hospital, Inje University College of Medicine, Busan, Republic of Korea
발표자: Juhyun Lee, E-mail : codecc0@hotmail.com