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Ann Thorac Surg 2007;84:640-642
© 2007 The Society of Thoracic Surgeons

Case Reports

Innominate Venous Aneurysm Presenting as a Rapidly Expanding Mediastinal Mass

Riad B.M. Hosein, MRCS(Ed)a, Katherine Butler, MRCPCHb, Paul Miller, DCH, FRCPb, Timothy Jones, MD, FRCS(CTh)a, William J. Brawn, FRCS, FRACSa, David J. Barron, MD, FRCS (CT)a,*

a Department of Cardiac Surgery, Diana Princess of Wales Children’s Hospital, Birmingham, England, United Kingdom
b Department of Pediatric Cardiology, Diana Princess of Wales Children’s Hospital, Birmingham, England, United Kingdom

Accepted for publication March 1, 2007.

* Address correspondence to Dr Barron, Department of Cardiac Surgery, Birmingham Children’s Hospital, Steelhouse Ln, England, B4 6NH, United Kingdom (Email: david.barron{at}bch.nhs.uk).

Thoracic venous aneurysms are extremely rare conditions. Only 14 innominate venous aneurysms have been reported in the literature. We report a case of a 13-year-old girl who presented with a mediastinal mass on chest roentgenogram, which was performed because the patient was postoperatively tachypneic after a routine appendectomy. Further investigations revealed a large left innominate venous aneurysm that was growing rapidly. The patient underwent aneurysmectomy and reconstruction of the innominate vein. The patient’s postoperative course was uneventful, and her respiratory symptoms resolved.






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