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A 63-year-old woman was admitted to our department for the investigation of superior vena cava (SVC) syndrome. Computed tomography revealed an azygos tumor extending into the SVC. Video-assisted thoracic surgery (VATS) was performed to remove the distal end of the azygos vein in the left lateral position, followed by complete resection of the entire tumor under median sternotomy in the supine position. The histological diagnosis was a primary angiosarcoma of the azygos vein. The patient was discharged without any complications and is now alive and tumor-free 24 months after surgery. In addition, contrast-enhanced computed tomography revealed no graft occlusion in the two reconstructed brachiocephalic veins. Thoracoscopic surgery in the lateral position is useful for safe and reliable complete resection of a tumor arising from the azygos vein.
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http://dx.doi.org/10.1111/1759-7714.15188 | DOI Listing |
Front Oncol
August 2025
Department of Gastroenterology, Shaanxi Provincial People's Hospital, Xi'an, China.
Background: Azygos vein aneurysm (AVA) is a rare thoracic pathology that is frequently misdiagnosed. While contrast-enhanced chest computed tomography (CT) or magnetic resonance imaging (MRI) can delineate AVA location and size, these techniques lack the capability for dynamic real-time assessment of internal architecture.
Case Presentation: We present a highly unusual case of a 67-year-old woman who had an isolated azygos vein aneurysm presenting with dysphagia.
J Neurosurg Case Lessons
September 2025
Department of Neurosurgery, Brigham and Women's Hospital, Boston, Massachusetts.
Background: CSF-venous fistulas (CVFs) are an increasingly recognized cause of spontaneous intracranial hypotension (SIH). Cases of SIH can present with symptoms ranging from orthostatic headache to severe debilitating headaches, vertigo, back pain, vision changes, and cognitive impairment. CVFs are an aberrant direct fistulous connection between a spinal nerve root sleeve and adjacent paraspinal veins.
View Article and Find Full Text PDFArch Bronconeumol
July 2025
Pulmonology Service, Interventional Pulmonology Unit, Hospital University Germans Trias I Pujol, Badalona, Barcelona, Spain.
Neuroradiol J
August 2025
Division of Neuroradiology, University Medical Imaging Toronto and Joint Department of Medical Imaging, University Health Network, Toronto Western Hospital, Toronto, ON, Canada.
Spinal epidural arteriovenous fistulas (SEAVFs) with intradural reflux are rare but important vascular lesions that may cause progressive myelopathy due to spinal cord venous hypertension. Although traditionally managed by means of arterial embolization or surgical disconnection, these approaches can pose risks, particularly when critical vascular structures, such as the artery of Adamkiewicz, originate in close proximity to the fistulous site. We report the case of a patient in their 60s who presented with progressive paraparesis over approximately 1 year, ultimately attributed to an SEAVF located adjacent to the right L1-L2 neural foramen, with radiculo-perimedullary reflux.
View Article and Find Full Text PDFBMC Surg
August 2025
Department of Vascular Surgery, the Fourth Affiliated Hospital of School of Medicine, and International School of Medicine, International Institutes of Medicine, Zhejiang University, Yiwu, 322000, China.
Background: Persistent left superior vena cava catheterization for venous port is still sporadically reported, let alone combined with variations of the azygos.
Case Presentation: During the implantation of a venous access port in a 73-year-old patient, who was planned to carry out postoperative chemotherapy, a persistent left superior vena cava was discovered. A review of the preoperative plain chest computed tomography further corroborated the existence of a double superior vena cavas.