Lednev A N, Pechetov A A, Gulova N V
Vishnevsky National Medical Research Center of Surgery, Moscow, Russia.
Khirurgiia (Mosk). 2024(7):124-129. doi: 10.17116/hirurgia2024071124.
Azygos vein aneurysm is a rare thoracic disease that often mimics posterior mediastinum tumors. Pathogenesis of azygos vein aneurysm is unclear. Discussions about possible causes are still ongoing. Most aneurysms are asymptomatic and diagnosed incidentally during standard examinations. Severe complications of azygos vein aneurysm include rupture with massive bleeding and pulmonary embolism. Contrast-enhanced chest CT and MRI are essential. Differential diagnosis includes tumors, cysts and rare neoplasms of the mediastinum. Treatment algorithm is not established. There are traditional surgical and endovascular methods. We present minimally invasive surgical treatment of azygos vein aneurysm in a 53-year-old woman. The patient underwent thoracoscopic resection of aneurysm. Histological examination revealed a partially thrombosed azygos vein aneurysm.
奇静脉动脉瘤是一种罕见的胸部疾病，常酷似后纵隔肿瘤。奇静脉动脉瘤的发病机制尚不清楚。关于可能病因的讨论仍在进行中。大多数动脉瘤无症状，在标准检查时偶然被诊断出来。奇静脉动脉瘤的严重并发症包括破裂伴大出血和肺栓塞。胸部增强CT和MRI至关重要。鉴别诊断包括纵隔肿瘤、囊肿和罕见肿瘤。治疗方案尚未确立。有传统的手术和血管内治疗方法。我们介绍了一名53岁女性奇静脉动脉瘤的微创外科治疗。患者接受了胸腔镜下动脉瘤切除术。组织学检查显示为部分血栓形成的奇静脉动脉瘤。
