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Baiju S. Dharan
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Interactive Cardiovascular and Thoracic Surgery 2:331-333(2003)
© 2003 European Association of Cardio-Thoracic Surgery


Case report - Vascular thoracic

Superior vena caval aneurysm

Praveen K. Varma*, Baiju S. Dharan, Padmakumar Ramachandran and Kurur Sankaran Neelakandhan

Department of Cardio-Vascular and Thoracic Surgery, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala 695 011, India

* Corresponding author. Tel.: +91-471-244-4496; fax: +91-471-244-6433
pkvarma{at}sctimst.ker.nic.in

Venous aneurysms arising from the mediastinal systemic veins are rare. There are only 27 reported cases of such aneurysms. Majority arise from the superior vena cava. We are reporting a saccular aneurysm of superior vena cava in a 58-year-old male. The chest radiogram suggested superior mediastinal mass and the computed tomogram was suggestive of aortic arch aneurysm. Aortography and venography confirmed the diagnosis as saccular aneurysm arising from the superior vena cava. A 7 cm saccular aneurysm arising from the distal half of superior vena cava was resected through median sternotomy. The surgery was done to prevent pulmonary thrombo-embolism.

Key Words: Aneurysm; Superior vena cava; Computer tomogram; Aortogram







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