Saccular Aneurysm of Superior Vena Cava Treated with Percutaneous, Transcatheter Thrombin Injection

  title={Saccular Aneurysm of Superior Vena Cava Treated with Percutaneous, Transcatheter Thrombin Injection},
  author={Tomasz Jargiełło and Marek Durakiewicz and Michał S{\'o}jka and Elżbieta Czekajska-Chehab and M. Szczerbo-trojanowska},
  journal={CardioVascular and Interventional Radiology},
We report the case of successful endovascular treatment of large saccular aneurysm of SVC in a patient with vascular malformation of right hand and chest. Considering the high risk of surgery, the patient was referred for percutaneous intervention. Venography showed communication between the aneurysm and SVC, just below brachiocephalic confluence. That is why the decision of balloon-protected transcatheter thrombin injection was made. Selective catheter was placed in the aneurysm and balloon… 
Untreated Superior Vena Cava Aneurysm: Radiological Significance and Review of the Literature
A 73-year-old female with an incidental SVC aneurysm discovered on computed tomography (CT) of the thorax is presented.
Giant saccular superior vena cava aneurysm-a rare and difficult clinical case.
Under general anesthesia and employing the median sternotomy approach, using a cardiopulmonary bypass (CPB), the venous aneurysm was successfully resected and the postoperative period was uneventful.
Angioplasty for the treatment of left brachiocephalic vein aneurysm: a case report
Surgical operation is an effecive treatment method for brachiocephalic vein aneurysm, but it is still necessary to choose the appropriate way according to the type, size, location, lesion scope and complications of the vein anthurysm.
Endovascular management of a large aneurysm of the superior vena cava involving internal thoracic vein with remodeling technique.
The contributing role of embolization with remodeling technique in such an exceptional condition as a large aneurysm of the superior vena cava involving internal thoracic vein is highlighted.
Giant saccular superior vena cava aneurysm: a rare clinical case
It is suggested that patients with giant SVC aneurysm should avoid sudden changes in posture, and that surgical treatment should be implemented urgently.
Clinics in diagnostic imaging (194). SVC aneurysm.
Computed tomography of the thorax showed an enhancing anterior mediastinal mass with heterogeneous enhancement and contrast pooling in the arterial phase, followed by homogeneous enhancement in the venous phase, consistent with an aneurysm arising from the superior vena cava.
Large asymptomatic superior vena cava aneurysm.


Percutaneous Repair of Abdominal Aortic Pseudoaneurysm by Catheter-Based Delivery of Thrombin
  • K. Geckeis, H. Eggebrecht, R. Erbel
  • Medicine, Biology
    Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists
  • 2006
Thrombin continues to prove its safety and efficacy for the treatment of pseudoaneurysms at numerous anatomical sites, including the abdominal aorta, in a case in which thrombin was injected percutaneously to treat an aortic pseudoaneureysm.
Percutaneous thrombin injection of a pulmonary artery pseudoaneurysm refractory to coil embolization.
A 57-year-old white man with a hypermetabolic right upper-lobe mass underwent treatment with wedge resection, with complete thrombosis of the pseudoaneurysm, and fluoroscopically and sonographically guided percutaneous thrombin injection was performed.
A case of asymptomatic fusiform aneurysm of the superior vena cava detected by magnetic resonance imaging.
Superior vena caval aneurysm.
Unusual Cause of Acute Right Ventricular Dysfunction: Rapid Progression of Superior Vena Cava Aneurysm Complicated by Thrombosis and Pulmonary Thromboembolism
Thrombolytic therapy for hemodynamically significant acute PTE was harmful to the patient in the present case, because it induced further thrombosis and mobilization of the thrombi within the aneurysm, subsequently causing de novo PTE.
Congenital Giant Aneurysm of the Left Innominate Vein: Is Surgical Treatment Required?
A 16-year-old girl whose chest x-ray suggested a mediastinal tumor is described, whose three-dimensional contrast-enhancement magnetic resonance venography showed a giant sacciform aneurysm of the left innominated vein and dilatation of the right innominate vein.
Subclavian venous aneurysm: case report and review of the literature.
Neck and thorax venous aneurysm: association with cystic hygroma.
Although the association of venous aneurysms and cystic hygromas has not been previously observed, their coexistence does not appear to be coincidental: None of the patients had other causes of dilatation of the SVC.
A review of the therapeutic uses of thrombin.
It is concluded that the use of thrombin as a drug will not only continue but also will significantly increase, however, the availability of a safe humanThrombin preparation will be critical for the continued use ofThrom bin as a therapeutic.