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Brachiocephalic Vein Aneurysm Treated with Surgery: A Case Report
1Department of Thoracic and Cardiovascular Surgery, Busan Paik Hospital, Inje University College of Medicine, Busan, South Korea.. wiccy@hanmail.net.
The Heart Surgery Forum
|October 10, 2019
Summary
A rare brachiocephalic vein aneurysm was found in a 54-year-old man. Surgical removal via median sternotomy was successful without complications or need for bypass, showing a positive outcome.
Area of Science:
- Vascular Surgery
- Cardiovascular Medicine
- Radiology
Background:
- Brachiocephalic vein aneurysms are exceptionally rare vascular anomalies.
- Etiology remains largely unknown, with presentations ranging from asymptomatic incidental findings to symptomatic complications.
Observation:
- A case report details a 54-year-old male diagnosed with an isolated saccular aneurysm of the left brachiocephalic vein.
- Diagnosis was confirmed using contrast-enhanced computed tomography, revealing an asymptomatic condition.
Findings:
- The patient underwent successful aneurysmectomy through a median sternotomy approach.
- The surgical procedure did not necessitate the use of a vascular graft or cardiopulmonary bypass.
Implications:
- This case highlights the successful surgical management of a rare brachiocephalic vein aneurysm.
- Median sternotomy without bypass offers a viable treatment option for selected cases, leading to favorable postoperative outcomes.

