Partial thrombosis of an idiopathic azygos vein aneurysm

Ma, Gómez; Delhommais, Anne; Pf, Presicci; Besson, Marie; Roger, Richard; Alison, D

doi:10.1259/bjr/28611372

Cited by 35 publications

(20 citation statements)

References 5 publications

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“…Without the enhanced imaging, the tumour resembled bronchogenic cysts or foregut duplication cysts. Previous reports have shown that preoperative diagnoses include bronchogenic cysts, neurogenic tumours, and swollen lymph nodes 2, 3, 4.…”

Section: Discussionmentioning

confidence: 99%

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Azygos vein varix mimicking bronchial cysts

Miura¹,

Miura

Honda

2018

Respirology Case Reports

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Azygos vein varix is a very rare disease associated with a risk of rupture or thrombosis. Here, we report a case of azygos vein varix mimicking bronchogenic cysts. A 79‐year‐old female patient presented with abnormal shadows on a chest X‐ray during an annual check‐up. A plain chest computed tomography (CT) showed a well‐defined tumour, approximately 66 X 65 X 45 mm in size, behind the trachea. An enhanced CT scan was refused due to asthma complications. A high signal on T2W1 images from magnetic resonance imaging (MRI) indicated a cystic tumour. Diagnosed as a bronchogenic cyst, a cyst excision was scheduled. Upon observation with a thoracoscope, a dark purple‐red saccular tumour was observed continuing on to the azygos vein and was removed using linear staplers. The patient is alive and well 4 years after the operation. If a cystic tumour located in the right upper mediastinum is observed, the presence of azygos vein varix should be considered.

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Section: Discussionmentioning

confidence: 99%

“…However, as long as cases with ruptures and/or thrombosis 1, 4, 5 are reported, the surgical removal of the tumour should be considered the best approach for this type of tumour. Successful video‐assisted thoracic surgeries for this tumour have been reported.…”

Section: Discussionmentioning

confidence: 99%

Azygos vein varix mimicking bronchial cysts

Miura¹,

Miura

Honda

2018

Respirology Case Reports

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“…1 It usually occurs in patients with vascular disease: portal hypertension, heart failure, malformation of the inferior vena cava including partial or total agenesia, or obstruction of the inferior vena cava by a tumor or other cause. 2 In this case, the origin of this aneurysm is unknown, although a congenital origin is suggested.…”

Section: Discussionmentioning

confidence: 99%

Resection of an azygos vein aneurysm with thrombosis

Ishikura

Kimura

Fukumura

et al. 2010

Gen Thorac Cardiovasc Surg

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Aneurysm of the azygos vein is rare. We describe the case of a 51-year-old nonsmoking woman with a posterior mediastinal mass caused by a giant azygos vein aneurysm with subtotal thrombosis. Surgical resection of the azygos vein was offered to our patient as a treatment option owing to theoretical risks of rupture and pulmonary embolism. After taping the azygos vein proximally and distally, the aneurysm was resected with video-assisted thoracoscopy. Approximately 30 cases have been reported in the literature to date. Dynamic computed tomography and a videoassisted approach were useful for the diagnosis and treatment for this abnormality.

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“…Idiopathic aneurysms of the azygos vein system (azygos vein, hemiazygos vein, and accessory hemiazygos vein) are rare, and there is no standard treatment (1)(2)(3)(4)(5). We herein report a case of an asymptomatic aneurysm of the accessory hemiazygos vein that was diagnosed based on the findings of contrast-enhanced computed tomography (CT) and angiography.…”

Section: Introductionmentioning

confidence: 97%