Intravenous Lobular Capillary Hemangioma in the Subclavian Vein

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Intravenous Lobular Capillary Hemangioma in the Subclavian Vein Kanji Matsuzaki, MD, Yuki Imamura, MD, Masayoshi Ozawa, MD, Tomomi Nakajima, MD, Akihiko Ikeda, MD, Taisuke Konishi, MD, Tomoaki Jikuya, MD The Annals of Thoracic Surgery Volume 102, Issue 5, Pages e427-e429 (November 2016) DOI: 10.1016/j.athoracsur.2016.04.013 Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Three-dimensional computed tomography (CT) and (B) magnetic resonance imaging (MRI) revealed a hypervascular tumor in the right subclavian vein. The Annals of Thoracic Surgery 2016 102, e427-e429DOI: (10.1016/j.athoracsur.2016.04.013) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) Manubrium was incised in reverse L shape, and first costal cartilage was excised. (B) Transmanubrial osteomuscular sparing approach provided good field of vision at right subclavian vein. (Rt. = right; Med. = median.) The Annals of Thoracic Surgery 2016 102, e427-e429DOI: (10.1016/j.athoracsur.2016.04.013) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Macroscopically, lesion was (A) polypoid tumor accompanied by (B) new thrombus. (C) Microscopically, tumor consisted mainly of endothelial cells forming lobular proliferation of capillaries, which stained positive for CD34 in immunohistochemical analysis (×10 magnification). The Annals of Thoracic Surgery 2016 102, e427-e429DOI: (10.1016/j.athoracsur.2016.04.013) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions