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Scott A. LeMaire
Michael J. Reardon
Joseph S. Coselli
Rafael Espada
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Ann Thorac Surg 2000;70:662-663
© 2000 The Society of Thoracic Surgeons

Case report

Intermittent brachiocephalic vein obstruction secondary to a thymic cyst

Jeffrey S. Miller, MDa, Scott A. LeMaire, MDa, Michael J. Reardon, MDa, Joseph S. Coselli, MDa, Rafael Espada, MDa

a Division of Cardiothoracic Surgery, Department of Surgery, Baylor College of Medicine, Houston, Texas, USA

Address reprint requests to Dr Miller, Department of Surgery, Baylor College of Medicine, 6565 Fannin, Suite A886, Houston, TX 77030
e-mail: jmiller{at}bcm.tmc.edu

Mediastinal thymic cysts are usually asymptomatic and found incidentally on a routine chest roentgenogram. Rarely, they may cause symptoms of vascular obstruction. A 55-year-old woman presented with intermittent swelling in her left neck. The swelling was positional and was worse while supine and disappeared while upright. Evaluation revealed a thymic cyst causing extrinsic compression of the left brachiocephalic vein. The cyst was resected with complete resolution of the left neck swelling.






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