Hatachi Go, Miyazaki Takuro, Obata Tomohiro, Kitamura Yuka, Matsumoto Keitaro, Tsuchiya Tomoshi, Yamasaki Naoya, Kinoshita Naoe, Nagayasu Takeshi
Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, Nagasaki, Japan.
Department of Pathology, Nagasaki University Hospital, Nagasaki, Japan.
Asian J Endosc Surg. 2018 Nov;11(4):392-394. doi: 10.1111/ases.12457. Epub 2018 Jan 11.
Azygos vein aneurysm is a rare disease. Surgical resection is usually performed when it ruptures. To avoid the thromboembolism, procedures that do not touch or push the aneurysm are recommended. Herein, we report a case of idiopathic azygos vein aneurysm. A 56-year-old woman was admitted to the hospital for right lateral chest pain. Chest enhanced multi-detector CT revealed an azygos vein aneurysm in the posterior mediastinal space. No thrombus in the aneurysm was detected before surgery. Video-assisted thoracic surgery was performed to treat the aneurysm. The patient was discharged from the hospital 4 days after surgery. Video-assisted thoracic surgery was a good option to treat an azygos vein aneurysm, and an enhanced multi-detector CT was useful for performing surgery safely.
奇静脉动脉瘤是一种罕见疾病。通常在其破裂时进行手术切除。为避免血栓栓塞，建议采用不触碰或挤压动脉瘤的手术方式。在此，我们报告一例特发性奇静脉动脉瘤病例。一名56岁女性因右侧胸痛入院。胸部增强多层螺旋CT显示后纵隔间隙有奇静脉动脉瘤。术前未在动脉瘤内检测到血栓。采用电视辅助胸腔镜手术治疗该动脉瘤。患者术后4天出院。电视辅助胸腔镜手术是治疗奇静脉动脉瘤的良好选择，增强多层螺旋CT有助于安全地进行手术。
