Alpha 2.0
Login Register
» Articles » PMID: 27076981

Giant Saccular Superior Vena Cava Aneurysm-a Rare and Difficult Clinical Case

Overview
Journal J Thorac Dis
Publisher AME Publishing Company
Specialty Pulmonary Medicine
Date 2016 Apr 15
PMID 27076981
Citations 9
Authors
Dariusz Janczak
Jacek Skiba
Marek Gemel
Marek Mak
Agnieszka Ziomek
Maciej Malinowski
Tadeusz Dorobisz
Michal Lesniak
Dawid Janczak
Mariusz Chabowski
Affiliations
Soon will be listed here.
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.

Citing Articles

Surgical Resection of Superior Vena Cava Saccular Aneurysm.

Rodriguez Brilla M, Kausen K, Olle A, Bautista-Hernandez V Ann Thorac Surg Short Rep. 2025; 2(3):559-562.

PMID: 39790412 PMC: 11708133. DOI: 10.1016/j.atssr.2024.04.005.

Endovascular treatment for left innominate vein aneurysm: Case report and literature review.

Cai G, Hua Z, Xu P, Jiao Z, Cao H, Liu S J Interv Med. 2021; 2(1):35-37.

PMID: 34805868 PMC: 8562169. DOI: 10.1016/j.jimed.2019.05.009.

Commentary: Rational decision making for a rare case.

Eikelboom R, Spooner A, Yanagawa B JTCVS Tech. 2021; 5:82-83.

PMID: 34318115 PMC: 8300044. DOI: 10.1016/j.xjtc.2020.10.044.

Reconstruction of the superior vena cava with an autologous pericardial patch for a giant superior vena cava aneurysm.

Honda K, Yuzaki M, Fujimoto T, Nishimura Y JTCVS Tech. 2021; 4:183-186.

PMID: 34318006 PMC: 8308190. DOI: 10.1016/j.xjtc.2020.10.012.

Non-obstructed supracardiac total anomalous pulmonary venous connection with giant superior vena cava aneurysm.

Yan Y, Yu K, Yang Y, Gan C BMC Surg. 2021; 21(1):136.

PMID: 33731043 PMC: 7967976. DOI: 10.1186/s12893-021-01135-0.

References
1.
Jargiello T, Durakiewicz M, Sojka M, Czekajska-Chehab E, Szczerbo-Trojanowska M . Saccular aneurysm of superior vena cava treated with percutaneous, transcatheter thrombin injection. Cardiovasc Intervent Radiol. 2013; 37(2):529-32. DOI: 10.1007/s00270-013-0658-3. View
2.
Koga S, Ikeda S, Sanuki Y, Ninomiya A, Izumikawa T, Miyahara Y . A case of asymptomatic fusiform aneurysm of the superior vena cava detected by magnetic resonance imaging. Int J Cardiol. 2006; 113(2):e39-41. DOI: 10.1016/j.ijcard.2006.04.009. View
3.
Nakamura Y, Nakano K, Nakatani H, Fukuda T, Honda K, Homma N . Surgical exclusion of a thrombosed azygos vein aneurysm causing pulmonary embolism. J Thorac Cardiovasc Surg. 2007; 133(3):834-5. DOI: 10.1016/j.jtcvs.2006.11.012. View
4.
REAM C, Giardina A . Congenital superior vena cava aneurysm with complications caused by infectious mononucleosis. Chest. 1972; 62(6):755-7. DOI: 10.1378/chest.62.6.755. View
5.
Pasic M, Schopke W, Vogt P, von Segesser L, Schneider J, Turina M . Aneurysm of the superior mediastinal veins. J Vasc Surg. 1995; 21(3):505-9. DOI: 10.1016/s0741-5214(95)70294-6. View