Empty azygos fissure implies dislocation of the azygos vein to the mediastinal side of the right upper lobe from azygos fissure, which is usually secondary to pneumothorax, pleural effusion, parenchymal fibrosis, vertebral collapse or persistent vomiting. We are presenting here a case where a separated azygos vein in CT and radiography images was noted. Moreover, in the follow-up images, it appeared that the complete reexpansion of the right lung resulted in reentrance of the azygos vein into azygos fissure in its native position.
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http://dx.doi.org/10.5152/eurasianjmed.2017.16267 | DOI Listing |
Ann Thorac Surg Short Rep
March 2023
Department of Cardiac Surgery, The University of Tokyo Hospital, Tokyo, Japan.
Pericardium and polytetrafluoroethylene are popular patch materials, although they have some deficits in use for thin and small vessels. We present a case of post-Norwood hypoplastic left heart syndrome that required enlargement of the anastomosis between the native ascending aorta and the neoaorta at the time of a bidirectional Glenn procedure. The azygos vein was a useful material for patch augmentation of a hypoplastic ascending aorta.
View Article and Find Full Text PDFAnn Thorac Surg Short Rep
March 2023
Department of Surgery, University of Miami Hospitals and Clinics, Fort Lauderdale, Florida.
Azygos vein aneurysm is a rare finding with sparse documentation in the medical literature. We present the case of a large thrombosed azygos vein aneurysm and its successful treatment by surgical resection. The size, shape, and nature of the aneurysm as well as the symptomatic presentation substantiated surgical management, which we propose is a safe and effective management strategy for similar cases.
View Article and Find Full Text PDFAnn Thorac Surg Short Rep
June 2024
Department of Thoracic and Cardiovascular Surgery, Loyola University Medical Center, Maywood, Illinois.
Central venous occlusions are common in the population of dialysis patients and develop as a result of arteriovenous access. Whereas these patients most commonly present with edema and varicosities, a rare presentation is esophageal varices. Here we present the case of a young man with life-threatening esophageal hemorrhage as a result of central venous occlusions, successfully treated with an azygos vein to right atrial bypass.
View Article and Find Full Text PDFCureus
December 2024
Cardiology, Lower Bucks Hospital, Bristol, USA.
Inferior vena cava (IVC) anomalies are rare congenital pathologies related to variations of agenesis, hypoplasia, or atresia, predisposing patients to thromboembolic events secondary to an alteration in venous drainage with resultant stasis. This is a case report of a 27-year-old male without significant medical history presenting for a fall after playing recreational basketball with associated pain and swelling in his left lower extremity. After his symptoms progressively worsened, he came to the emergency room for an evaluation where an ultrasound (US) of the extremity showed extensive deep vein thromboses (DVT).
View Article and Find Full Text PDFOchsner J
January 2024
Department of Internal Medicine, Sultan 2. Abdul Hamid Khan Educational and Research Hospital, Istanbul, Turkey.
Heterotaxy syndrome, a condition in which the internal organs are abnormally arranged in the thorax or abdomen, is generally diagnosed early in life, often during the neonatal period. We present the case of a 42-year-old male who was incidentally diagnosed with polysplenia syndrome and subsequently diagnosed with heterotaxy syndrome. Upon further investigation, he was determined to have a sinus venosus type atrial septal defect.
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