Surgical therapy for hemangioma of the azygos vein arch under thoracoscopy: A case report
Open Access
- 16 April 2021
- journal article
- research article
- Published by Baishideng Publishing Group Inc. in World Journal of Clinical Cases
- Vol. 9 (11), 2655-2661
- https://doi.org/10.12998/wjcc.v9.i11.2655
Abstract
Azygos vein aneurysms are extremely rare, and their pathogenesis is not clear. The overwhelming majority of patients have no obvious clinical symptoms and are found to have the disease by physical examination or by chance. There are few reports on the diagnosis of and treatment strategy for this disease. Moreover, the choice of therapeutic schedule and the treatment window are controversial. We report a case of azygos vein arch aneurysm in a 53-year-old woman. The patient had symptoms of back pain, chest tightness, and choking. Enhanced chest computed tomography showed a soft-tissue mass in the right posterior mediastinum, which was connected to the superior vena cava. The enhancement degree in the venous phase was the same as that of the superior vena cava. The patient received video-assisted thoracoscopic surgery. After the operation, her back pain disappeared, and her dysphagia and chest tightness were also significantly relieved. The postoperative pathology confirmed hemangioma. The patient was discharged on the seventh day after surgery without any comp-lications. Some patients with hemangioma of the azygos vein arch may experience dysphagia and chest tightness caused by the tumor compressing the esophagus and trachea. Enhanced computed tomography scanning is vital for the diagnosis of azygos vein aneurysms. In addition, despite the difficulty and risk of surgery, thoracoscopic surgery for azygos vein aneurysms is completely feasible.Keywords
This publication has 16 references indexed in Scilit:
- Aneurysms of the azygos veinJournal of Vascular Surgery. Venous and Lymphatic Disorders, 2017
- Thoracoscopic Resection of a Rare Case of Hemangioma of the Azygos Venous ArchCase Reports in Surgery, 2017
- Complicated Azygos Vein Aneurysm in an Infant Presenting with Acute Pulmonary ThromboembolismKorean Circulation Journal, 2016
- A giant azygos venous aneurysm caused by the resection of hemangiomaJournal of Vascular Surgery. Venous and Lymphatic Disorders, 2014
- Radiological features of azygous vein aneurysm.2014
- Multidetector computed tomography evaluation of cavernous haemangioma of the azygous veinInteractive CardioVascular and Thoracic Surgery, 2013
- Azygos Vein Aneurysm - A Case for Elective Resection by Video-assisted Thoracic SurgeryThe Korean Journal of Thoracic and Cardiovascular Surgery, 2011
- Surgical exclusion of a thrombosed azygos vein aneurysm causing pulmonary embolismThe Journal of Thoracic and Cardiovascular Surgery, 2007
- A rare case of hemangioma arising from the azygos vein: informative procedure with endobronchial ultrasonographyThe Journal of Thoracic and Cardiovascular Surgery, 2004
- Idiopathic Saccular Azygos Vein AneurysmThe Annals of Thoracic Surgery, 1998