Reversed L-shaped incision for resection of a large azygos vein aneurysm: a case report
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 v...
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Format: | Article |
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SpringerOpen
2023-05-01
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Series: | Surgical Case Reports |
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Online Access: | https://doi.org/10.1186/s40792-023-01669-w |
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author | Kazuki Tamura Yasunobu Konishi Wataru Tatsuishi Tomonobu Abe |
author_facet | Kazuki Tamura Yasunobu Konishi Wataru Tatsuishi Tomonobu Abe |
author_sort | Kazuki Tamura |
collection | DOAJ |
description | 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. |
first_indexed | 2024-03-13T10:13:05Z |
format | Article |
id | doaj.art-f1325006fd434e0ca35accfa44322533 |
institution | Directory Open Access Journal |
issn | 2198-7793 |
language | English |
last_indexed | 2024-03-13T10:13:05Z |
publishDate | 2023-05-01 |
publisher | SpringerOpen |
record_format | Article |
series | Surgical Case Reports |
spelling | doaj.art-f1325006fd434e0ca35accfa443225332023-05-21T11:25:30ZengSpringerOpenSurgical Case Reports2198-77932023-05-01911510.1186/s40792-023-01669-wReversed L-shaped incision for resection of a large azygos vein aneurysm: a case reportKazuki Tamura0Yasunobu Konishi1Wataru Tatsuishi2Tomonobu Abe3Department of Cardiovascular Surgery, Gunma University HospitalDepartment of Cardiovascular Surgery, Gunma University HospitalDepartment of Cardiovascular Surgery, Gunma University HospitalDepartment of Cardiovascular Surgery, Gunma University HospitalAbstract 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.https://doi.org/10.1186/s40792-023-01669-wAzygos vein aneurysmReversed L incisionThoracic surgery |
spellingShingle | Kazuki Tamura Yasunobu Konishi Wataru Tatsuishi Tomonobu Abe Reversed L-shaped incision for resection of a large azygos vein aneurysm: a case report Surgical Case Reports Azygos vein aneurysm Reversed L incision Thoracic surgery |
title | Reversed L-shaped incision for resection of a large azygos vein aneurysm: a case report |
title_full | Reversed L-shaped incision for resection of a large azygos vein aneurysm: a case report |
title_fullStr | Reversed L-shaped incision for resection of a large azygos vein aneurysm: a case report |
title_full_unstemmed | Reversed L-shaped incision for resection of a large azygos vein aneurysm: a case report |
title_short | Reversed L-shaped incision for resection of a large azygos vein aneurysm: a case report |
title_sort | reversed l shaped incision for resection of a large azygos vein aneurysm a case report |
topic | Azygos vein aneurysm Reversed L incision Thoracic surgery |
url | https://doi.org/10.1186/s40792-023-01669-w |
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