Imaging Features and Outcomes in 10 Cases of Idiopathic Azygos Vein Aneurysm Sheung-Fat Ko, MD, Chung-Cheng Huang, MD, Jui-Wei Lin, MD, Hung-I Lu, MD,

Slides:

Advertisements

Similar presentations

Pulmonary Involvement in Inflammatory Bowel Disease

Advertisements

Standard Report Terms for Chest Computed Tomography Reports of Anterior Mediastinal Masses Suspicious for Thymoma Edith M. Marom, MD, Melissa L. Rosado-de-Christenson,

Kommerell diverticulum, right-sided aorta, and left aberrant subclavian artery in a patient with dysphagia Jenn-Yu Wu, MD, Hsin-Yi Chen, MD, Chin-Chung.

Han-Ku Chen, MD, Wan-Ting Huang, MD, Hock-Liew Eng, MD, Hung-I

Pulmonary Lobectomy in a Patient With a Left Ventricular Assist Device

An Idiopathic Azygos Vein Aneurysm Mimicking a Mediastinal Mass

Preoperative Localization of Lung Nodules With Fiducial Markers: Feasibility and Technical Considerations Amita Sharma, MD, Shaunagh McDermott, MD, Douglas.

Thymic Cavernous Hemangioma With a Left Innominate Vein Aneurysm

Michael Kalina, DO, Frederick Giberson, MD

Jennifer Tomich, MD, Mohit Bhasin, MD, Jonathan Philpott, MD

Chest Wall Angiolipoma Complicating Von Recklinghausen Disease

Recurrent Atrioventricular Groove Intramuscular Arteriovenous Malformation Patrick O. Myers, MD, Tal Geva, MD, Harry Kozakewich, MD, Christopher W. Baird,

Thoracic Pseudoaneurysm Caused By Malignant Lymphoma

Idiopathic Pulmonary Vein Thrombosis: A Rare Cause of Massive Hemoptysis Gerard R. Alexander, MBChB, Anu Reddi, FCS (Cardio), Darshan Reddy, MBChB The.

Unexpected Small Bowel Intussusception Caused by Lung Cancer Metastasis on 18F- Fluorodeoxyglucose PET-CT Jeong Won Lee, MD, Seok-Ki Kim, MD, Ji Won Park,

Pranya Sakiyalak, MD, Wickii T Vigneswaran, MD

Reconstructive surgery for segmental arterial mediolysis involving both the internal carotid artery and visceral arteries Hideaki Obara, MD, PhD, Kenji.

Rupture of Thoracoabdominal Aortic Aneurysm Associated with Behcet’s Disease Nobuhiro Umehara, MD, Satoshi Saito, MD, Hikaru Ishii, MD, Shigeyuki Aomi,

An Unusual Successfully Treated Case of Pulmonary Yolk Sac Tumor

Fishbone penetration of the thoracic esophagus with prolonged asymptomatic impaction within the aorta Sheung-Fat Ko, MD, Hung-I Lu, MD, Shu-Hang Ng,

Castleman disease of the pleura: experience with eight surgically proven cases Sheung-Fat Ko, MD, Shu-Hang Ng, MD, Ming-Jang Hsieh, MD, Jui-Wei Lin, MD,

Mesenchymal Cystic Hamartoma of the Lung

An Unusual Case of Pleural Chordoma

Selective Left Subclavian Ligation in Total Aortic Arch Replacement

Urgent Surgical Approach to Mediastinal Cyst Causing Life-Threatening Tracheal Obstruction Lin Cheng, MD, Ai Huang, MD, Ke Jiang, MD, Shijie Xing, MD,

Right Upper Lobe Venous Drainage Posterior to the Bronchus Intermedius: Preoperative Identification by Computed Tomography Katsuyuki Asai, MD, Norikazu.

Thymic Small Cell Carcinoma Associated With Pulmonary Squamous Cell Carcinoma Takashi Iwata, MD, Kiyotoshi Inoue, MD, Shinjiro Mizuguchi, MD, Ryuhei Morita,

Outcome of Surgical Repair of Pulmonary Artery Aneurysms: A Single-Center Experience With 38 Patients Janani S. Reisenauer, MD, Sameh M. Said, MD, Hartzell.

Maria Lucia Madariaga, MD, Lawrence F. Borges, MD, James D

Nimish Bhatt, BA, J. Mark Sloan, MD, Carl J

Mediastinal Parathyroid Cysts

Treatment of Sternal Wound Infection Using a Free Myocutaneous Flap

Resection and Patch Repair of a Large Saccular Coronary Artery Aneurysm at the Left Main Bifurcation Tommi Pätilä, MD, Juha Virolainen, MD, PhD, Jorma.

A Giant Endobronchial Inflammatory Polyp

Joshua K. Knight, MS (MD Candidate), M. Blair Marshall, MD

Unilateral Absence of the Left Pulmonary Artery Accompanied by Right Lung Cancer Masaoki Ito, MD, Yoshinori Yamashita, MD, PhD, Hiroaki Harada, MD, Ken-ichi.

Sarah Cullivan, MD, Karen Redmond, MD, Carole Ridge, MD, Oisin J

Dumbbell-Mimicked Mediastinal Angiomatosis

Christopher K. Mehta, MD, Colin T

Combination of Aortic Stent-Graft and Arterial Embolization for Ruptured Bronchial Artery Aneurysm Chuan-xian Hu, MD, Su Huang, MD, Zhi-wei Xu, MD, Wei.

Ting-Wei Lin, MD, MS, Jieh-Neng Wang, MD, Chung-Dann Kan, MD, PhD

Intrathoracic Gossypiboma After Spinal Operation

Accessory Liver Lobe in the Left Thoracic Cavity

Invasive Desmoplastic Fibroblastoma in the Chest Wall

Echocardiography in Imaging an Extremely Rare Cause of Extrinsic Pulmonary Stenosis: Rapidly Progressive Primary Mediastinal Embryonal Carcinoma Ertuğrul.

Video-Assisted Thoracoscopic Surgery for a Cystic Seminoma of the Mediastinum Mong-Wei Lin, MD, Yih-Leong Chang, MD, Chen-Tu Wu, MD, Yung-Chie Lee, MD,

Esophageal Bronchus The Annals of Thoracic Surgery

Ascending Aortic Dissecting Aneurysm with Isolated Right Pulmonary Arterial Medial Intramural Hematoma Jiunn-Jye Sheu, MD, Morgan Fu, MD, Fan-Yen Lee,

Macarena R. Vial, MD, Mona Sarkiss, MD, Donald R

Min-Shu Hsieh, MD, Chen-Tu Wu, MD, Yih-Leong Chang, MD

Thymoma With Pure Red Cell Aplasia and Good's Syndrome

Primary Pulmonary Rhabdomyosarcoma in an Adult With Neurofibromatosis-1 Jae-Sung Choi, MD, PhD, Jong Sun Choi, MD, PhD, Eung-Joong Kim, MD, PhD The Annals.

Intrapulmonary Localized Fibrous Tumor of the Lung: A Very Unusual Presentation Hiroyuki Sakurai, MD, Wakae Tanaka, MD, Masahiro Kaji, MD, Kazuto Yamazaki,

Rheumatoid Pleural Effusion in the Absence of Arthritic Disease

Postoperative Pleural Effusion in Bronchioloalveolar Cancer

Angiographic Embolization of a Traumatic Pulmonary Pseudoaneurysm

Thymic and Pulmonary Mucosa-Associated Lymphoid Tissue Lymphomas

Transesophageal Bronchoscopic Ultrasound-Guided Fine-Needle Aspiration for Diagnosis of Peripheral Lung Cancer Masahide Oki, MD, PhD, Hideo Saka, MD,

Primary Myelolipoma of the Chest Wall

The Nuss Procedure for Pectus Excavatum at the Time of Atrial Septal Closure Chih-Hong Kao, MD, Chien-Sung Tsai, MD, Tsai-Wang Huang, MD, Shih-Chun Lee,

Endotracheal and Endobronchial Metastases in a Patient With Stage I Lung Adenocarcinoma Zhirong Zhang, MD, Yousheng Mao, MD, Huang Chen, MD, Jingsi Dong,

Idiopathic Saccular Azygos Vein Aneurysm

Lipoma of the Diaphragm: A Rare Presentation

Compression of Trachea and Left Main Bronchus by Arch Aneurysm

Sequential Mediastinal Lymphadenectomy of an Unknown Primary Tumor

Kursad Oz, MD, Recep Demirhan, MD, Burak Onan, MD, Irfan Sancakli, MD

Dual-Inflow Great Vessel Aneurysm: Delayed Presentation After Penetrating Trauma Mario M Rossbach, MD, Reginald C Baptiste, MD, Mellick T Sykes, MD, Edward.

Concurrent Metastatic Thymic Carcinoma and Postirradiation Sarcoma

Massive Hemoptysis After Aspiration of a Toothpick

A Small Alveolar Adenoma Resected by Thoracoscopic Surgery

Presentation transcript:

Imaging Features and Outcomes in 10 Cases of Idiopathic Azygos Vein Aneurysm Sheung-Fat Ko, MD, Chung-Cheng Huang, MD, Jui-Wei Lin, MD, Hung-I Lu, MD, Chia-Te Kung, MD, Shu-Hang Ng, MD, Yung-Liang Wan, MD, Hon-Kan Yip, MD The Annals of Thoracic Surgery Volume 97, Issue 3, Pages 873-878 (March 2014) DOI: 10.1016/j.athoracsur.2013.10.029 Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Chest roentgenogram of patient 1 shows large right upper mediastinal mass (arrowheads) with compression on trachea and right upper lobe of bronchus. (B) Enhanced chest CT shows slightly hyperdense but poorly enhanced right upper mediastinal mass with asymmetrical prominent lateral convexity (arrowheads) and relatively flattened medial border (open arrows). (C) T1-weighted image shows a saccular mass with eccentric lateral convex contour (arrowheads) and mildly bulging medial contour (open arrows), inhomogeneous solid core and hyperintense rim, suggestive of presence of chronic hematoma. (D) Histopathologic section shows big organized hematoma (*) occupying nearly whole venous aneurysmal sac, confirming diagnosis of thrombosed saccular azygos vein aneurysm (AVA). Note focal loss of smooth muscle (arrows) and adjacent normal smooth muscle (open arrows) along the media layer (hematoxylin and eosin, original magnification ×40). The Annals of Thoracic Surgery 2014 97, 873-878DOI: (10.1016/j.athoracsur.2013.10.029) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) Enhanced chest computed tomographic scan of patient 4 shows poorly enhanced azygos arch with eccentric focal dilatation over lateral part (arrowheads) and flattened medial border (open arrows), and normal adjacent azygos vein (black arrow). Note thrombi in pulmonary arterial branches (white arrows). (B) Three-year follow-up computed tomographic scan obtained because of another episode of dyspnea shows enlargement of lesion with further bulging of lateral convexity (arrowheads) and straightened medial border (open arrows), suggestive of growing saccular thrombosed azygos arch aneurysm. Note stable adjacent azygos vein (black arrow) and thrombi (white arrows) in multiple pulmonary arterial branches. Ultrasonography with Doppler evaluation showed no evidence of culprit deep vein thrombosis in pelvis and lower extremities. The Annals of Thoracic Surgery 2014 97, 873-878DOI: (10.1016/j.athoracsur.2013.10.029) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 (A) Enhanced chest computed tomographic scan of patient 8 shows poorly enhanced nodule with prominent inner and outer convex borders (arrowheads) over azygos arch and adjacent poorly enhanced azygos vein (black arrow). Additional delayed scans with optimal venous enhancement in (B) axial and (C) oblique reconstruction show spindle-shaped short segmental dilatation (arrowheads) of azygos arch consistent with fusiform vein aneurysm (AVA) and adjacent normal azygos vein (black arrows). The Annals of Thoracic Surgery 2014 97, 873-878DOI: (10.1016/j.athoracsur.2013.10.029) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions