Case Report: Surgical Therapy for Left Innominate Vein Aneurysm Under Thoracoscopy

Left innominate vein aneurysm is extremely rare, with a limited number of case reports present in the literature. Herein, we report a case of a 50-year-old female patient presenting with an incidental finding of an anterior mediastinal mass on chest radiography during a routine health examination. C...

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Autores principales: Yan Hu, Siying Ren, Chao Zeng, Jina Li, Min Zou, Li Wang, Peng Xiao, Fenglei Yu, Wenliang Liu
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Lenguaje:EN
Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://doaj.org/article/a378b4996b264acab6033b4515a668d1
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spelling oai:doaj.org-article:a378b4996b264acab6033b4515a668d12021-11-12T04:32:32ZCase Report: Surgical Therapy for Left Innominate Vein Aneurysm Under Thoracoscopy2296-875X10.3389/fsurg.2021.741840https://doaj.org/article/a378b4996b264acab6033b4515a668d12021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fsurg.2021.741840/fullhttps://doaj.org/toc/2296-875XLeft innominate vein aneurysm is extremely rare, with a limited number of case reports present in the literature. Herein, we report a case of a 50-year-old female patient presenting with an incidental finding of an anterior mediastinal mass on chest radiography during a routine health examination. Contrast-enhanced computerized tomography (CT) of the chest showed a 4.8 × 4.6 cm anterior mediastinal mass with significant homogenous enhancement after injection of the contrast medium, suggesting a diagnosis of Castleman's disease, but not excluding thymoma. The patient underwent surgical resection of the anterior mediastinal mass under a thoracoscopic approach. Postoperative pathology confirmed the diagnosis of a left innominate vein aneurysm. This is the first case reporting a left innominate vein aneurysm resected under thoracoscopy. Despite this successful treatment experience, we need to emphasize that open thoracotomy or median sternotomy should be chosen as the first choice for surgeons who lack experience in thoracoscopic surgery, with the aim of avoiding intraoperative accidents.Yan HuSiying RenChao ZengJina LiMin ZouLi WangPeng XiaoFenglei YuWenliang LiuFrontiers Media S.A.articleleft innominate vein aneurysmsurgerythoracoscopyCastleman's diseasethymomaSurgeryRD1-811ENFrontiers in Surgery, Vol 8 (2021)
institution DOAJ
collection DOAJ
language EN
topic left innominate vein aneurysm
surgery
thoracoscopy
Castleman's disease
thymoma
Surgery
RD1-811
spellingShingle left innominate vein aneurysm
surgery
thoracoscopy
Castleman's disease
thymoma
Surgery
RD1-811
Yan Hu
Siying Ren
Chao Zeng
Jina Li
Min Zou
Li Wang
Peng Xiao
Fenglei Yu
Wenliang Liu
Case Report: Surgical Therapy for Left Innominate Vein Aneurysm Under Thoracoscopy
description Left innominate vein aneurysm is extremely rare, with a limited number of case reports present in the literature. Herein, we report a case of a 50-year-old female patient presenting with an incidental finding of an anterior mediastinal mass on chest radiography during a routine health examination. Contrast-enhanced computerized tomography (CT) of the chest showed a 4.8 × 4.6 cm anterior mediastinal mass with significant homogenous enhancement after injection of the contrast medium, suggesting a diagnosis of Castleman's disease, but not excluding thymoma. The patient underwent surgical resection of the anterior mediastinal mass under a thoracoscopic approach. Postoperative pathology confirmed the diagnosis of a left innominate vein aneurysm. This is the first case reporting a left innominate vein aneurysm resected under thoracoscopy. Despite this successful treatment experience, we need to emphasize that open thoracotomy or median sternotomy should be chosen as the first choice for surgeons who lack experience in thoracoscopic surgery, with the aim of avoiding intraoperative accidents.
format article
author Yan Hu
Siying Ren
Chao Zeng
Jina Li
Min Zou
Li Wang
Peng Xiao
Fenglei Yu
Wenliang Liu
author_facet Yan Hu
Siying Ren
Chao Zeng
Jina Li
Min Zou
Li Wang
Peng Xiao
Fenglei Yu
Wenliang Liu
author_sort Yan Hu
title Case Report: Surgical Therapy for Left Innominate Vein Aneurysm Under Thoracoscopy
title_short Case Report: Surgical Therapy for Left Innominate Vein Aneurysm Under Thoracoscopy
title_full Case Report: Surgical Therapy for Left Innominate Vein Aneurysm Under Thoracoscopy
title_fullStr Case Report: Surgical Therapy for Left Innominate Vein Aneurysm Under Thoracoscopy
title_full_unstemmed Case Report: Surgical Therapy for Left Innominate Vein Aneurysm Under Thoracoscopy
title_sort case report: surgical therapy for left innominate vein aneurysm under thoracoscopy
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/a378b4996b264acab6033b4515a668d1
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