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Ann Thorac Surg 1980;29:258-262
© 1980 The Society of Thoracic Surgeons

Articles

Congenital Saccular Aneurysm of the Superior Vena Cava

Dennis L. Modry, F.R.C.S.(C)*, Robert S. Hidvegi, F.R.C.P.(C), Leo R. LaFleche, F.R.C.S.

From the Division of Thoracic and Cardiovascular Surgery, McGill University, Montreal, Que, Canada

Accepted for publication June 5, 1979.

* Address reprint requests to Dr. Modry, 222 Berlioz, #1-D, Nuns Island, Montreal, Que, Canada H3E 1B8

It is important to recognize the true nature of the rare superior vena caval aneurysm with nonoperative techniques, in order to avoid needless diagnostic thoracotomy. Two distinct types exist—the fusiform and the saccular. The presence of such an aneurysm should be suspected if there is size variation during respiration on roentgenographic evaluation, and can be confirmed venographically. That these aneurysms do not enlarge, rupture, or thrombose argues for conservative management.




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