scholarly journals Huge mediastinal bronchogenic cyst revealed by hemoptysis and resected by uniportal VATS: A case report

2021 ◽  
Vol 8 (3) ◽  
pp. 104-106
Author(s):  
Najat Id El Haj ◽  
Sara Hafidi ◽  
Ibtissam Rezouki ◽  
Souheil Boubia ◽  
Mehdi Karkour ◽  
...  
Keyword(s):  
Bronchogenic Cyst ◽  
Superior Vena ◽  
Vena Cava ◽  
Azygos Vein ◽  
Mass Effect ◽  
Cystic Formation ◽  
Adjacent Structures ◽  
Pulmonary Parenchyma ◽  
Posterior Mediastinal ◽  
Histological Confirmation

Bronchogenic cysts are rare unusual congenital cysts, resulting from abnormal budding of the primary tracheobronchial tube and can be located either in the mediastinum or in the pulmonary parenchyma. They remain asymptomatic in most adults unless they are large to compress adjacent structures or infected. We report a case of a 43-year-old woman, who presented recurrent episodes of hemoptysis low abundance 4 months ago revealing a huge mediastinal cystic formation, initially taken as a hydatid cyst, the chest CT showed a voluminous cystic formation of 11,4x10, 9x8, 8 cm exerting a mass effect on the posterior mediastinal structures: the superior vena cava, the azygos vein, and the trachea. The diagnosis as a bronchogenic cyst is done after resected by uniportal video-assisted surgery (VATS), and histological confirmation. The patient does not present any complications or reoffending during the follow-up. The rarity of this entity and even more a rare association of this lesion with symptoms of hemoptysis led to the report of this case. This case illustrates the interest of uniportal VATS for the extirpation of the bronchogenic cyst. We recommend a complete exeresis in most cases to confirm the diagnosis, relieve symptoms, and prevent complications.

scholarly journals Bronchogenic cyst compressing the superior vena cava and the left atrium

2014 ◽  
Vol 15 (7) ◽  
pp. 831-831 ◽  
Author(s):  
Hisao Yoshikawa ◽  
Makoto Suzuki ◽  
Raisuke Iijima ◽  
Masato Nakamura ◽  
Kaoru Sugi
Keyword(s):  
Left Atrium ◽  
Superior Vena Cava ◽  
Bronchogenic Cyst ◽  
Superior Vena ◽  
Vena Cava

A rare variant between the left superior vena cava and the azygos vein

2016 ◽  
Vol 39 (1) ◽  
pp. 107-109 ◽  
Author(s):  
Jing Li ◽  
Qinghua Mao ◽  
Zhanguo Sun ◽  
Qingchen Li
Keyword(s):  
Rare Variant ◽  
Superior Vena Cava ◽  
Superior Vena ◽  
Vena Cava ◽  
Azygos Vein ◽  
Left Superior Vena Cava

scholarly journals Failure of Femoral Access to Electrophysiological Evaluation Due to Aplasia of the Inferior Vena Cava

2016 ◽  
Vol 10 ◽  
pp. CMC.S38153
Author(s):  
Mariana S. Parahuleva ◽  
Mehmet Burgazli ◽  
Nedim Soydan ◽  
Wolfgang Franzen ◽  
Norbert Guttler ◽  
...  
Keyword(s):  
Inferior Vena Cava ◽  
Superior Vena Cava ◽  
Right Atrium ◽  
Inferior Vena ◽  
Superior Vena ◽  
Vena Cava ◽  
Azygos Vein ◽  
Interesting Case ◽  
Hepatic Veins ◽  
Femoral Access

We report an interesting case of a man with a persistent left superior vena cava (PLSVC) with left azygos vein who underwent electrophysiological evaluation. Further evaluation revealed congenital dilated azygos vein, while a segment connecting the inferior vena cava (IVC) to the hepatic vein and right atrium was missing. The azygos vein drained into the superior vena cava, and the hepatic veins drained directly into the right atrium. The patient did not have congenital anomalies of the remaining thoracoabdominal vasculature.

scholarly journals Resection of a Catecholamine-Elaborating Retroperitoneal Paraganglioma Invading the Inferior Vena Cava

2014 ◽  
Vol 2014 ◽  
pp. 1-4
Author(s):  
E. M. Mannina ◽  
Z. Xiong ◽  
R. Self ◽  
E. Kandil
Keyword(s):  
Nervous System ◽  
Autonomic Nervous System ◽  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Vena Cava ◽  
Standard Of Care ◽  
Mass Effect ◽  
Preoperative Imaging ◽  
Critical Component ◽  
Adjacent Structures

Paragangliomas are rare tumors originating outside of the adrenal medulla which can be associated with catecholamine secretion or mass effect, one of which typically leads to their discovery. The differences between these tumors and traditional intra-adrenal pheochromocytomas are a subject of recent investigations. Standard of care therapy is medical management and surgical resection of the tumor. When tumors are biochemically active, medical optimization of the autonomic nervous system is a critical component to a safe, definitive resection. Tumors arising in the retroperitoneum present technical challenges for the surgeon as they are often large and difficult to access, making an oncologic resection much more difficult. Lastly, these tumors are mostly benign and rarely invade adjacent structures—an operative finding not always predicted by preoperative imaging—which, if present, adds significant complexity and risk to the resection. A case illustrating these challenges in the management of a biochemically active retroperitoneal paraganglioma invading the inferior vena cava follows.

scholarly journals Comparison of Oxygen Saturation of Blood in Azygos Vein and Superior Vena Cava

Circulation ◽  
1970 ◽  
Vol 41 (1) ◽  
pp. 55-58 ◽  
Author(s):  
KEWAL K. JAIN ◽  
HENRY R. WAGNER ◽  
EDWARD C. LAMBERT
Keyword(s):  
Oxygen Saturation ◽  
Superior Vena Cava ◽  
Superior Vena ◽  
Vena Cava ◽  
Azygos Vein

scholarly journals Left upper lung cancer with persistent left superior vena cava and left azygos vein: a case report

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Zhongben Tang ◽  
Yin Teng ◽  
Jian Li ◽  
Xiaojun Du ◽  
Jiarong Xiao ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Lymph Nodes ◽  
Vascular Malformations ◽  
Superior Vena ◽  
Left Lung ◽  
Vena Cava ◽  
Azygos Vein ◽  
Anatomical Site ◽  
Left Superior Vena Cava ◽  
Post Surgery

Abstract Background With the popularization of thoracoscopic surgery, more and more macrovascular malformations have been reported. Understanding some vascular malformations with relatively fixed anatomical site and their range of drainage could avoid severe complications during the surgery. Persistent left superior vena cava (PLSVC) is a common thoracic vascular malformation, and is always combined with other cardiovascular dysplasia. As for the patient with upper left lung cancer in this case, he had PLSVC and left azygos vein, and non-metastatic enlargement of the lymph nodes at the same time, which had influenced the decisions on surgery and treatment. We made a summary of experience regarding this. Case presentation A 46-years-old male patient, his CT found a space-occupying lesion in the superior lobe of the left lung. The chest CT showed that the patient had PLSVC and left azygos vein, and multiple enlarged lymph nodes in the mediastinum. The patient received thoracoscopic upper left lung lobectomy and lymph node dissection. It was discovered that the left azygos vein had a concealed form, which influenced the lymph node dissection. The post-surgery pathology showed that there was squamous cell carcinoma in the upper left lung (pT2bN0M0 p Phase IIA) and no cancer metastasis with the lymph nodes. The patient had a good post-surgery recovery. Conclusions PLSVC is not rare, and is always combined with other vascular malformations. If discovering PLSVC before surgery, we suggest completing chest enhanced CT and vascular reconstruction, to find out other cardiovascular malformations that may exist. Left azygos vein is a rare vascular malformation, but it has a relatively fixed anatomical site, and always co-exists with PLSVC, therefore, understanding anatomy of left azygos vein is good for preventing accidental damage. Especially when performing surgery above the left pulmonary artery trunk, attention shall be paid to preventing damage to the left azygos vein. In addition, as for the patient with the diagnosis of lung cancer before surgery, it is not reliable to judge whether there is metastasis or not merely according to the size of the lymph nodes, instead, PET-CT or needle biopsy is recommended.

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