Lohrenz Christina, Rückner Daniel, Wintzer Olof, Gross-Fengels Walter, Meierling Stefan
1 Department of Thoracic Surgery, Asklepios Klinik Harburg, Hamburg, Germany.
2 Department of Radiology, Asklepios Klinik Harburg, Hamburg, Germany.
Vasa. 2018 Oct;47(6):515-517. doi: 10.1024/0301-1526/a000733. Epub 2018 Aug 24.
We report a rare case of large innominate vein aneurysm in a young women clinically presenting with persistent dry cough and retrosternal pressure. Chest X-ray showed a mediastinal widening leading to thoracic computed tomography, MRI, and phlebography. Initial conservative treatment with regular follow-up was performed. Upon aneurysm growth and recurrent pulmonary infection we decided to surgically resect the aneurysm via a minimally invasive approach.
我们报告了一例罕见的无名静脉大动脉瘤病例，患者为年轻女性，临床表现为持续干咳和胸骨后压迫感。胸部X线显示纵隔增宽，进而进行了胸部计算机断层扫描、磁共振成像和静脉造影。最初进行了保守治疗并定期随访。在动脉瘤增大和反复肺部感染后，我们决定通过微创方法手术切除动脉瘤。
