Central Venous Stenosis Caused by Traction of the Innominate Vein due to a Tuberculosis-Destroyed Lung

Abstract

We report a case of central venous stenosis due to a structural deformity caused by a tuberculosis-destroyed lung in a 65-year-old woman. The patient presented with left facial edema. She had a history of pulmonary tuberculosis, and the chest X-ray revealed a collapsed left lung. Angiography showed leftward deviation of the innominate vein leading to kinking and stenosis of the internal jugular vein. Stent insertion improved her facial edema.

Effectiveness of a flexible coiled sheath for correcting an acute angle between the brachiocephalic vein and the superior vena cava for successful defibrillator implantation

“…However, anatomical deformities, induced by a disease such as destructive lung or pneumonectomy, are an uncommon finding at the time of intracardiac device‐lead implantation. In addition, chronic post‐tuberculosis inflammation results in various complications, including vascular distortion [4,5] However, there are few reports in the literature of successful lead insertion into congenital or acquired unusual vasculature.…”