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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: Hu, Yan, Ren, Siying, Zeng, Chao, Li, Jina, Zou, Min, Wang, Li, Xiao, Peng, Yu, Fenglei, Liu, Wenliang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8632717/
https://www.ncbi.nlm.nih.gov/pubmed/34869553
http://dx.doi.org/10.3389/fsurg.2021.741840
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author Hu, Yan
Ren, Siying
Zeng, Chao
Li, Jina
Zou, Min
Wang, Li
Xiao, Peng
Yu, Fenglei
Liu, Wenliang
author_facet Hu, Yan
Ren, Siying
Zeng, Chao
Li, Jina
Zou, Min
Wang, Li
Xiao, Peng
Yu, Fenglei
Liu, Wenliang
author_sort Hu, Yan
collection PubMed
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.
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spelling pubmed-86327172021-12-02 Case Report: Surgical Therapy for Left Innominate Vein Aneurysm Under Thoracoscopy Hu, Yan Ren, Siying Zeng, Chao Li, Jina Zou, Min Wang, Li Xiao, Peng Yu, Fenglei Liu, Wenliang Front Surg Surgery 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. Frontiers Media S.A. 2021-11-12 /pmc/articles/PMC8632717/ /pubmed/34869553 http://dx.doi.org/10.3389/fsurg.2021.741840 Text en Copyright © 2021 Hu, Ren, Zeng, Li, Zou, Wang, Xiao, Yu and Liu. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Surgery
Hu, Yan
Ren, Siying
Zeng, Chao
Li, Jina
Zou, Min
Wang, Li
Xiao, Peng
Yu, Fenglei
Liu, Wenliang
Case Report: Surgical Therapy for Left Innominate Vein Aneurysm Under Thoracoscopy
title 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_short Case Report: Surgical Therapy for Left Innominate Vein Aneurysm Under Thoracoscopy
title_sort case report: surgical therapy for left innominate vein aneurysm under thoracoscopy
topic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8632717/
https://www.ncbi.nlm.nih.gov/pubmed/34869553
http://dx.doi.org/10.3389/fsurg.2021.741840
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