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

J Thorac Dis

1 Department of Surgery, 4th Military Teaching Hospital, 50-981 Wroclaw, Poland ; 2 Department of Clinical Proceedings, Faculty of Health Science, Wroclaw Medical University, 51-618 Wroclaw, Poland ; 3 Department of Cardiac Surgery, 4th Military Teaching Hospital, 50-981 Wroclaw, Poland.

Published: March 2016

AI Article Synopsis

  • A 57-year-old woman was diagnosed with a rare saccular aneurysm of the superior vena cava (SVC) measuring 8 cm, confirmed by a chest CT scan.
  • The aneurysm created a significant mass that affected nearby structures, including the right lung and right innominate vein.
  • The patient underwent successful surgical resection using general anesthesia, median sternotomy, and cardiopulmonary bypass, with an uneventful recovery post-surgery.

Article 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.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4805784PMC
http://dx.doi.org/10.21037/jtd.2016.02.20DOI Listing

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