2018 Volume 27 Issue 2 Pages 121-124
Isolated brachiocephalic venous aneurysm is extremely rare. Only 23 cases have been reported in the literature. A 70-year-old woman referred to our hospital because of a mediastinal widening. A contrast enhanced computed tomography scan showed a saccular aneurysm of the left brachiocephalic vein. We performed aneurysmectomy and venous plasty using autologous pericardial patch because expansion of the aneurysm was noticed during follow-up. The patient had an uneventful postoperative course without recurrence. The surgical indication of brachiocephalic venous aneurysm is controversial, but surgical treatment is recommended for the saccular aneurysm with tendency for expansion.
