Exclusion of an Azygos Vein Varix With a Covered Stent

Rothman, Joshua M.; Galindo, Alvaro; Evans, William N.; Restrepo, Humberto; Rothman, Abraham

doi:10.1016/j.jaccas.2020.09.009

Cited by 4 publications

(6 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Summarizing the previously reported cases, most of the patients were asymptomatic or had their AVA discovered incidentally on physical examination for other reasons. Among the common symptoms in patients, 13 patients had chest pain [ 12 – 15 , 17 , 18 , 20 , 22 , 26 , 35 , 44 , 48 , 60 ], 10 patients had chest tightness and even dyspnea [ 3 , 6 , 19 – 21 , 23 , 25 , 45 ], 4 patients had cough [ 3 , 9 , 43 , 53 ], 3 patients had symptoms of dysphagia [ 19 , 43 , 59 ], and 3 patients' AVAs were accidentally discovered in trauma [ 3 , 11 ]. Contrast-enhanced CT and magnetic resonance imaging (MRI) are the main noninvasive methods for the diagnosis of AVA.…”

Section: Discussionmentioning

confidence: 99%

“…However, poor tumor enhancement or intratumoral thrombus formation in the AVA may lead to misdiagnosis of AVA as a solid tumor or mediastinal lymphadenopathy [ 24 ]. When a mediastinal mass does not exclude the diagnosis of azygosmosis, needle biopsy is not recommended because of the risk of massive bleeding [ 25 , 26 ]. In the present case, the three-dimensional reconstruction of the patient showed that the tumor was located in the AV, and the tumor was connected with the superior vena cava and the AV, which confirmed the diagnosis of AVA.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Single-port thoracoscopic removal of an azygos vein aneurysm: a case report and literature review

Yao

Xie

et al. 2023

J Cardiothorac Surg

View full text Add to dashboard Cite

Background Azygos vein aneurysms (AVAs) are extremely rare. The majority of patients have no obvious clinical symptoms, so they are found by physical examination or by chance. There is limited clinical treatment experience that can be referred to, and there are no clear guidelines or research evidence standardizing the surgical and interventional therapy. Here, we report a patient with idiopathic AVA whose three-dimensional reconstruction of the tumor was completed before surgery. On the basis of three-dimensional reconstruction, single-port thoracoscopic resection of the AVA was successfully completed and reported for the first time. The previously reported cases are summarized to provide guidance for the diagnosis and treatment of patients with AVAs. Case presentation A 56-year-old man was transferred to our hospital due to “dysphagia”. The diagnosis of AVA was made after enhanced computed tomography, gastroscopy, fiberoptic bronchoscopy, and three-dimensional reconstruction. Congenital weakness or degenerative changes causes the vein walls to be extremely thin that the AVA had the risk of ruptur. Furthermore, the patient had symptoms of dysphagia, he received single-port thoracoscopic surgery. After the operation, his dysphagia disappeared. The postoperative pathology confirmed hemangioma. The patient was discharged 3 days after surgery without any complications. Conclusions AVAs are rare. Preoperative three-dimensional reconstruction can greatly help surgeons clarify the disease diagnosis, formulate the surgical plan, avoid damage to the surrounding vital organs, and reduce intraoperative bleeding. Thoracoscopic surgery to remove AVAs is difficult and has a high risk of bleeding, while more minimally invasive single-port thoracoscopic surgery is also safe and effective for the treatment of AVAs.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Single-port thoracoscopic removal of an azygos vein aneurysm: a case report and literature review

Yao

Xie

et al. 2023

J Cardiothorac Surg

View full text Add to dashboard Cite

show abstract

“…Summarizing the previously reported cases, most of the patients were asymptomatic or had their AVA discovered incidentally on physical examination for other reasons. Among the common symptoms in patients, 13 patients had chest pain [9][10][11][12][14][15]17,19,23,34,43,47,59] , 10 patients had chest tightness and even dyspnea [2][3][16][17][18]20,22,44] , 4 patients had cough [2,6,42,52] , 3 patients had symptoms of dysphagia [16,42,58] , and 3 patients' AVAs were accidentally discovered in trauma [2,8] . Contrast-enhanced CT and magnetic resonance imaging (MRI) are the main noninvasive methods for the diagnosis of AVA.…”

Section: Discussionmentioning

confidence: 99%

“…However, poor tumor enhancement or intratumoral thrombus formation in the AVA may lead to misdiagnosis of AVA as a solid tumor or mediastinal lymphadenopathy [21] . When a mediastinal mass does not exclude the diagnosis of azygosmosis, needle biopsy is not recommended because of the risk of massive bleeding [22][23] . In the present case, the three-dimensional reconstruction of the patient showed that the tumor was located in the AV, and the tumor was connected with the superior vena cava and the AV, which con rmed the diagnosis of AVA.…”

Section: Discussionmentioning

confidence: 99%

“…At the same time, interventional therapy is a relatively new option for AVA. There are case reports of successful implantation of covered stents within the aneurysm [9,11,22,34] , transcatheter embolization of the aneurysms [4,10] and Amplatzer closure occlusion of tumor blood vessels [34] . Due to the physiological curvature of the AV, the scope of indications of interventional therapy is narrow.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Single-port thoracoscopic removal of an azygos vein aneurysm: A case report and literature review

Yao¹,

Hu²,

Xie³

et al. 2022

Preprint

View full text Add to dashboard Cite

Background: Azygos vein aneurysms (AVAs) are extremely rare. The majority of patients have no obvious clinical symptoms, so they are found by physical examination or by chance. There is limited clinical treatment experience that can be referred to, and there are no clear guidelines or research evidence standardizing the surgical and interventional therapy. Here, we report a patient with idiopathic AVA whose three-dimensional reconstruction of the tumor was completed before surgery. On the basis of three-dimensional reconstruction, single-port thoracoscopic resection of the AVA was successfully completed and reported for the first time. The previously reported cases are summarized to provide guidance for the diagnosis and treatment of patients with AVAs. Case presentation: A 56-year-old man was transferred to our hospital due to "dysphagia". The diagnosis of AVA was made after enhanced computed tomography, gastroscopy, fiberoptic bronchoscopy, and three-dimensional reconstruction. Because the patient had symptoms of dysphagia and the AVA had the risk of rupture, he received single-port thoracoscopic surgery. After the operation, his dysphagia disappeared. The postoperative pathology confirmed hemangioma. The patient was discharged three days after surgery without any complications. Conclusions: AVAs are rare. Preoperative three-dimensional reconstruction can greatly help surgeons clarify the disease diagnosis, formulate the surgical plan, avoid damage to the surrounding vital organs, and reduce intraoperative bleeding. Thoracoscopic surgery to remove AVAs is difficult and has a high risk of bleeding, while more minimally invasive single-port thoracoscopic surgery is also safe and effective for the treatment of AVAs.

show abstract

Radiological features and diagnostic pitfalls of idiopathic azygos vein aneurysm: A case report

Inomata,

Kawano,

Yamada

et al. 2024

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

Exclusion of an Azygos Vein Varix With a Covered Stent

Cited by 4 publications

References 10 publications

Single-port thoracoscopic removal of an azygos vein aneurysm: a case report and literature review

Single-port thoracoscopic removal of an azygos vein aneurysm: a case report and literature review

Single-port thoracoscopic removal of an azygos vein aneurysm: A case report and literature review

Radiological features and diagnostic pitfalls of idiopathic azygos vein aneurysm: A case report

Contact Info

Product

Resources

About