Reversed L-shaped incision for resection of a large azygos vein aneurysm: a case report

Autor: Kazuki Tamura, Yasunobu Konishi, Wataru Tatsuishi, Tomonobu Abe
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Surgical Case Reports, Vol 9, Iss 1, Pp 1-5 (2023)
Druh dokumentu: article
ISSN: 2198-7793
DOI: 10.1186/s40792-023-01669-w
Popis: Abstract Background Azygos vein aneurysms are rare and asymptomatic in many cases. The management for these aneurysms is controversial, and there is no clear guideline or evidence-based threshold for surgical or interventional therapy. Case presentation Herein, we report the case of a giant azygos vein aneurysm in a 78-year-old man that was treated with a reversed L-shaped incision. A 56 × 77 mm saccular azygos vein aneurysm was incidentally detected on computed tomography. Subsequently, surgical resection with interventional radiology and reversed L-shaped thoracotomy was performed. First, we performed coil embolization of the azygos vein aneurysm inflow. Next, a cardiopulmonary bypass was established through a reversed L-shaped sternotomy, and the aneurysm was excised. Conclusions In this case, surgical resection via reversed L incision was effective.
Databáze: Directory of Open Access Journals