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Long-term antiplatelet treatment for innominate vein aneurysm
Dimitrios Mikroulis1, G Vretzakis, S Eleftheriadis
1Cardiothoracic Department, University Hospital of Alexandroupolis, Dragana, Alexandroupolis, Greece. dmikrou@med.duth.gr
Abstract:
Aneurysms of thoracic veins are rare lesions and their therapeutic management is not clearly determined. We present a 60-year old man with an asymptomatic right innominate vein aneurysm. The patient had been operated on 10 years ago for coronary artery bypass and was under antiplatelet treatment. In a retrospective inspection of his chest X-rays, we found that the aneurysm had been existent for at least 10 years. We suggested conservative treatment and over a 5-year follow-up, the patient has remained asymptomatic. Our patient is alive 15 years with thoracic vein aneurysm and antiplatelet treatment.
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