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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Main Authors: Kazuki Tamura, Yasunobu Konishi, Wataru Tatsuishi, Tomonobu Abe
Format: Article
Language:English
Published: SpringerOpen 2023-05-01
Series:Surgical Case Reports
Subjects:
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.
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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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AT yasunobukonishi reversedlshapedincisionforresectionofalargeazygosveinaneurysmacasereport
AT watarutatsuishi reversedlshapedincisionforresectionofalargeazygosveinaneurysmacasereport
AT tomonobuabe reversedlshapedincisionforresectionofalargeazygosveinaneurysmacasereport