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Brachiocephalic vein bypass with sternal reconstruction for symptomatic occlusion

Mark E O'Donnell1, Dawn E Jaroszewski2, Kathryn Coan2

  • 1Division of Vascular and Endovascular Surgery, Mayo Clinic, Phoenix, AZ.

Annals of Vascular Surgery
|August 10, 2014
PubMed

Insights

Central venous stenosis and thrombosis complications are rising. A successful venous bypass and thoracic reconstruction corrected brachiocephalic vein occlusion in a patient with congenital thoracic dystrophy.

Area of Science:

  • Vascular Surgery
  • Thoracic Surgery
  • Medical Imaging

Background:

  • Central venous stenosis and thrombosis are increasingly common complications.
  • Pathologies include neointimal fibroplasia, neoplastic, fibrotic, and traumatic causes.
  • These conditions can lead to chronic and atypical symptoms.

Observation:

  • A 58-year-old female presented with chronic atypical symptoms.
  • The symptoms were secondary to brachiocephalic vein occlusion.
  • The underlying cause was identified as congenital thoracic dystrophy.

Findings:

  • Successful surgical intervention involving venous bypass and thoracic wall reconstruction was performed.
  • This procedure addressed the brachiocephalic vein occlusion.
  • The patient experienced resolution of her chronic symptoms.

Implications:

  • This case highlights a viable surgical solution for complex central venous stenosis.
  • Venous bypass and thoracic reconstruction can effectively manage symptoms arising from congenital anomalies.
  • Further research into managing central venous pathologies is warranted.

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