Cornel Savu1,2, Alexandru Melinte1, Irina Balescu3, Nicolae Bacalbasa2,4,5. 1. Department of Thoracic Surgery, "Marius Nasta" National Institute of Pneumophtisiology, Bucharest, Romania. 2. Department of Obstetrics and Gynecology, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania. 3. Department of Visceral Surgery, "Ponderas Academic Hospital", Bucharest, Romania irina.balescu@ponderas-ah.ro. 4. Department of Visceral Surgery, Center of Excellence in Translational Medicine, "Fundeni" Clinical Institute, Bucharest, Romania. 5. Department of Obstetrics and Gynecology, "I. Cantacuzino" Clinical Hospital, Bucharest, Romania.
Abstract
BACKGROUND/AIM: Azygos vein aneurysm (AVA) is a rare thoracic pathological entity that mimics a posterior mediastinal mass as well as a right paratracheal mass. Usually asymptomatic, AVA is often accidentally discovered during routine chest x-rays; however, depending on the aneurysm size and complications, some symptoms may be present. The aim of this paper is to report a case of idiopathic AVA and to discuss its aetiology, embryonic origin, symptoms, complications, diagnostic methods and treatments. CASE REPORT: A 74-year-old female was investigated for diffuse thoracic pain and submitted to standard chest x-ray, which identified a right paratracheal, well-defined, homogenous opacity, considered to be part of the mediastinal shadow. The patient was further submitted to thoracic computed tomography, which confirmed the presence of a tumoral mass at the level of the right paratracheal area. The patient was submitted to surgery and the tumoral mass was resected; however, the tumor proved to be a completely thrombosed aneurism of the azygos vein arch. CONCLUSION: AVA is a rare pathology that must be taken into consideration during the differential diagnosis of right postero-superior mediastinal masses. Copyright
BACKGROUND/AIM: Azygos vein aneurysm (AVA) is a rare thoracic pathological entity that mimics a posterior mediastinal mass as well as a right paratracheal mass. Usually asymptomatic, AVA is often accidentally discovered during routine chest x-rays; however, depending on the aneurysm size and complications, some symptoms may be present. The aim of this paper is to report a case of idiopathic AVA and to discuss its aetiology, embryonic origin, symptoms, complications, diagnostic methods and treatments. CASE REPORT: A 74-year-old female was investigated for diffuse thoracic pain and submitted to standard chest x-ray, which identified a right paratracheal, well-defined, homogenous opacity, considered to be part of the mediastinal shadow. The patient was further submitted to thoracic computed tomography, which confirmed the presence of a tumoral mass at the level of the right paratracheal area. The patient was submitted to surgery and the tumoral mass was resected; however, the tumor proved to be a completely thrombosed aneurism of the azygos vein arch. CONCLUSION: AVA is a rare pathology that must be taken into consideration during the differential diagnosis of right postero-superior mediastinal masses. Copyright
Authors: Javier Irurzun; Francisco de España; Juan Arenas; Raquel García-Sevila; Santiago Gil Journal: J Vasc Interv Radiol Date: 2008-05-22 Impact factor: 3.464
Authors: Cornel Savu; Vasile Grigorie; Alexandru Melinte; Camelia Diaconu; Laura Iliescu; Mihai Dimitriu; Irina Balescu; Nicolae Bacalbasa Journal: In Vivo Date: 2020 Nov-Dec Impact factor: 2.155