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Case Reports
. 2016 Mar;8(3):E247-9.
doi: 10.21037/jtd.2016.02.20.

Giant saccular superior vena cava aneurysm-a rare and difficult clinical case

Dariusz Janczak  1 , Jacek Skiba  1 , Marek Gemel  1 , Marek Mak  1 , Agnieszka Ziomek  1 , Maciej Malinowski  1 , Tadeusz Dorobisz  1 , Michal Lesniak  1 , Dawid Janczak  1 , Mariusz Chabowski  1
Affiliations
Case Reports

Giant saccular superior vena cava aneurysm-a rare and difficult clinical case

Dariusz Janczak et al. J Thorac Dis. 2016 Mar.

Abstract

A superior vena cava (SVC) aneurysm is an extremely rare case of vascular malformation in the chest cavity. This is a report of a case of a 57-year-old woman with a saccular SVC aneurysm which was 8 cm wide. The chest computed tomography (CT) scan confirmed a giant 75 mm × 79 mm × 81 mm mass containing the contrast medium from SVC, constricting the right lung parenchyma, narrowing the right innominate vein, in contact with the anterolateral chest cavity wall, and adjoining the superior mediastinum. Under general anesthesia and employing the median sternotomy approach, using a cardiopulmonary bypass (CPB), the venous aneurysm was successfully resected. The postoperative period was uneventful. Radical surgical resection using a sternotomy and a CPB is recommended.

Keywords: Venous aneurysm; cardiopulmonary bypass (CPB); sternotomy; superior vena cava (SVC).

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Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
Computed tomography (CT) scans of the saccular superior vena cava aneurysm before surgery.
Figure 2
Figure 2
The surgical view of the superior vena cava aneurysm before and after surgery.
Figure 3
Figure 3
Computed tomography (CT) scans of the chest cavity after surgery.
See this image and copyright information in PMC

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