Galvaing Geraud, Gaudin Marie, Medous Marie Tardy, Filaire Marc
Department of Thoracic and Endocrine Surgery, Jean Perrin Comprehensive Cancer Center, Clermont-Ferrand, France; Department of Anatomy, Clermont-Ferrand School of Medicine, Université Clermont Auvergne, Clermont-Ferrand, France.
Department of Vascular Surgery, Jacques Lacarin Hospital, Vichy, France.
Ann Vasc Surg. 2018 Apr;48:253.e5-253.e6. doi: 10.1016/j.avsg.2017.10.027. Epub 2018 Feb 5.
Brachiocephalic venous aneurysm is an extremely rare condition, with <20 cases reported in the literature. We present a case of a 72-year-old man who was referred to our department owing to a large aneurysm of the left brachiocephalic vein that was incidentally discovered on computed tomography. Further workup confirmed an isolated saccular aneurysm of the left brachiocephalic vein. The patient underwent aneurysmectomy via sternotomy with no requirement for a vascular graft or cardiopulmonary bypass. The postoperative course and follow-up were uneventful.
头臂静脉动脉瘤是一种极其罕见的疾病,文献报道的病例不足20例。我们报告一例72岁男性患者,因计算机断层扫描偶然发现左头臂静脉巨大动脉瘤而转诊至我科。进一步检查证实为孤立性左头臂静脉囊状动脉瘤。患者通过胸骨切开术接受了动脉瘤切除术,无需血管移植或体外循环。术后病程及随访情况良好。