A Giant Coronary Sinus Aneurysm with Secondary Vena Cava Aneurysms

Coronary sinus aneurysm (CSA) is an extremely rare entity. Herein, we present an unusual case of an 18-year-old symptomatic female patient with a giant CSA. Secondary vena cava aneurysms were also manifested. The final diagnosis was confirmed by enhanced computed tomography (CT) and cardiac catheterization. As far as we know, it is the first case that such a giant CSA coexists with secondary vena cava aneurysms. Considering the complexity of postoperative reconstruction, we believe that heart transplantation may be the optimal way for treatment. The patient received anticoagulant due to the superior vena cava (SVC) thrombosis while waiting for a donor.

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Ostium primum atrial septal defect with persistent left superior vena cava opening into unroofed coronary sinus-A rare entity

Echocardiography ◽

10.1111/echo.14408 ◽

2019 ◽

Vol 36 (7) ◽

pp. 1421-1422

Author(s):

Ashok Garg ◽

Deepak Agrawal ◽

Deepika Mishra ◽

Gyarsi Lal Sharma

Keyword(s):

Atrial Septal Defect ◽

Superior Vena Cava ◽

Coronary Sinus ◽

Septal Defect ◽

Superior Vena ◽

Vena Cava ◽

Rare Entity ◽

Left Superior Vena Cava ◽

Persistent Left Superior Vena ◽

Unroofed Coronary Sinus

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Coronary sinus ostial atresia with persistent left superior vena cava on cardiac computed tomography

Acta Cardiologica ◽

10.1080/00015385.2020.1818455 ◽

2020 ◽

pp. 1-1

Author(s):

Shu Yoshihara ◽

Taku Yaegashi ◽

Masaki Matsunaga ◽

Masaaki Naito

Keyword(s):

Computed Tomography ◽

Superior Vena Cava ◽

Coronary Sinus ◽

Cardiac Computed Tomography ◽

Superior Vena ◽

Vena Cava ◽

Left Superior Vena Cava ◽

Persistent Left Superior Vena

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Imaging of an unusual case of a completely unroofed coronary sinus without persistent left superior vena cava

European Heart Journal - Cardiovascular Imaging ◽

10.1093/ehjci/jes190 ◽

2012 ◽

Vol 14 (3) ◽

pp. 297-297 ◽

Cited By ~ 2

Author(s):

Roel J.R. Snijder ◽

Jeroen Schaap ◽

J. Fred Verzijlbergen ◽

Martijn C. Post

Keyword(s):

Superior Vena Cava ◽

Coronary Sinus ◽

Unusual Case ◽

Superior Vena ◽

Vena Cava ◽

Left Superior Vena Cava ◽

Persistent Left Superior Vena ◽

Unroofed Coronary Sinus

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Floating left innominate vein neoplastic thrombus: A rare case of mediastinal extension of follicular thyroid carcinoma

Phlebology The Journal of Venous Disease ◽

10.1177/0268355513515209 ◽

2013 ◽

Vol 30 (2) ◽

pp. 140-144 ◽

Cited By ~ 4

Author(s):

IF Franco ◽

A Gurrado ◽

G Lissidini ◽

G Di Meo ◽

A Pasculli ◽

...

Keyword(s):

Computed Tomography ◽

Superior Vena ◽

Vena Cava ◽

Innominate Vein ◽

En Bloc ◽

First Case ◽

Thyroid Mass ◽

Retrosternal Goiter ◽

Arm Swelling ◽

Left Innominate Vein

Objective We report a case of advanced follicular thyroid cancer with innominate vein involvement. To our knowledge, this seems to be the first case treated in emergency surgery, reported in literature. Method A 59-year-old woman with a five-year history of a large and mainly right-sided cervical mass presented with dyspnea, unilateral arm swelling, facial flushing, and venous congestion. An emergency computed tomography scan revealed a thyroid mass extending into the upper mediastinum with displacement and compression of the right jugular vein and carotid artery and apparent adherence to the superior vena cava and left innominate vein. Results An emergency total thyroidectomy was performed by means of a sternotomy. The lower portion of the retrosternal goiter projected directly into the left innominate vein, with tumor floating in its lumen. Removal of the neoplastic thrombus was performed, through an incision in the vein, en bloc with the thyroid mass. Both goiter and thrombus were completely replaced by follicular carcinoma. Conclusions Accurate preoperative assessment through contrast-enhanced computed tomography is strongly suggested in the presence of enlarged thyroid gland extending into the mediastinum whenever angioinvasion is suspected. This could prevent blinded maneuvers such as digital externalization of the thoracic component of the gland, which can be fatal in cases of cervico-mediastinal goiter extending into great cervical or mediastinal veins.

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Incidental computed tomography diagnosis of a rare triad consisting of absence of coronary sinus, persistent left superior vena cava, and scimitar syndrome

Interactive CardioVascular and Thoracic Surgery ◽

10.1510/icvts.2010.252510 ◽

2011 ◽

Vol 12 (3) ◽

pp. 490-491 ◽

Cited By ~ 1

Author(s):

Gorka Bastarrika ◽

Isabel Simón-Yarza ◽

Juan J. Gavira

Keyword(s):

Computed Tomography ◽

Superior Vena Cava ◽

Coronary Sinus ◽

Superior Vena ◽

Vena Cava ◽

Scimitar Syndrome ◽

Left Superior Vena Cava ◽

Persistent Left Superior Vena ◽

Computed Tomography Diagnosis

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The left brachiocephalic vein ‘spur’: A cadaveric and contrast computed tomography study

Phlebology The Journal of Venous Disease ◽

10.1177/0268355519836565 ◽

2019 ◽

Vol 34 (10) ◽

pp. 690-697

Author(s):

Hiroki Mitsuoka ◽

Munekazu Naito ◽

Yusuke Ohmichi ◽

Makiyo Hagihara ◽

Kanae Umemoto ◽

...

Keyword(s):

Computed Tomography ◽

Superior Vena ◽

Vena Cava ◽

Cadaveric Study ◽

Brachiocephalic Vein ◽

Left Brachiocephalic Vein ◽

Computed Tomography Images ◽

Contrast Enhanced ◽

Enhanced Computed Tomography ◽

Contrast Enhanced Computed Tomography

Objectives This study investigated the presence of the ‘spur’ which separates the lumen in the left brachiocephalic vein (LBV). Method We macroscopically observed the lumen of the bilateral brachiocephalic veins and the superior vena cava in 56 cadavers. The samples were treated with haematoxylin and eosin staining and immunostaining using an α-smooth muscle action antibody. Contrast-enhanced computed tomography images from 170 subjects were analysed. Results The septal structure was found in only 7% of LBVs included in the cadaveric study and 1.2% of LBVs included in the contrast-enhanced computed tomography image analysis. In the cadaveric study, the septal structure was identified as a ‘spur’ using histopathology. In both studies, a non-septal structure was found in the right brachiocephalic vein. Conclusions This is the first report indicating the existence of an LBV ‘spur’.

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