Transaxillary subfascial endoscopic approach for internal jugular phlebectasia in a child

Abstract

This technique offered an effective way to surgically manage internal jugular phlebectasia while avoiding the potential for poor cosmesis from any neck scar.

Endoscopic treatment with wrapping by a vascular prosthesis for internal jugular vein phlebectasia

“…1 For the current case with simultaneous right internal and external JVP, sole management (either ligation/excision or wrapping) of the internal jugular vein may result in ipsilateral compensatory dilatation of the superficial veins and increase of collateral venous return. 3 According to the study by Hu et al, 2 three of 31 cases, for whom the involved vein was ligated or excised, had postoperative complications. Therefore, wrapping of the internal jugular vein and ligation of the external jugular vein were the preferred methods of management.…”

“…3 Under general anesthesia, the patient was placed in the supine position with the neck slightly extended. A 5-mm, 30 endoscope with two additional working ports was used for the surgery.…”

Endoscope-assisted excision of macrocystic lymphangioma in neck via anterior chest approach in infants and children

“…To avoid such complications, some scholars applied gasless technique in endoscopic neck surgery [16]. And recently, Chang [17] performed transaxillary subfascial endoscopic approach for internal jugular phlebectasia in a child.…”

An Extremely Rare Source of Pulmonary Embolism: Internal Jugular Vein Aneurysm

“…Treatment options include resection, ligation, surgical resection with lateral venorrhaphy and conservative management [1,2,5]. The management of asymptomatic JVA is still controversial.…”

“…Given the potential risk of increased intracranial pressure due to venous congestion following ligation of the IJV, which may lead to vomiting, headache, ipsilateral neck and craniofacial swelling, and lacunar cerebral infarction, longitudinal constriction suture venoplasty plus encapsulation has been recommended instead of ligation and resection particularly in patients with right IJVA or bilateral IJVA [1,2]. Endoscopic repair has also been reported in the literature [5].…”