Multiple venous aneurysms of neck

Swaika, Sweta; Basu, Sujit; Bhadra, Ram Chandra; Maitra, Somnath

doi:10.4103/0971-9261.107013

Cited by 11 publications

(11 citation statements)

References 4 publications

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Section: Discussionmentioning

confidence: 99%

“…With regard to management, because IJ aneurysms are considered to be self-limiting, operative intervention is usually reserved for cosmetic or symptomatic reasons[ 2 , 5 , 10 , 18 ]. Although extremely rare, if there is significant concern for thrombosis, embolization or impending rupture, resection is justified[ 10 ]. Various approaches have been described which have been largely based on size and location, including anterior SCM, transverse cervical and median sternotomy incisions[ 4 , 5 , 15 ].…”

Section: Discussionmentioning

confidence: 99%

“…These include trauma from central venous catheterization, positive-pressure ventilation, inflammation, distal obstruction from a mass, or unknown idiopathic causes[ 2 , 7 , 9 ]. Additionally, pathological analyses of resected aneurysms have described congenital thinning of the elastic and muscular layers of the venous wall, and/or elastin dysplasia[ 10 , 11 ]. Not surprisingly, disorders of connective tissue, including Ehlers-Danlos and Neurofibromatosis type 1 (NF1), have been linked to these anomalies[ 4 , 12 - 14 ].…”

Section: Introductionmentioning

confidence: 99%

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Surgical resection of rare internal jugular vein aneurysm in neurofibromatosis type 1

Delvecchio

Moghul

Patel

et al. 2017

WJCC

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Neurofibromatosis type 1 is a congenital condition affecting neurons and connective tissue integrity including vasculature. On extremely rare occasions these patients present with venous aneurysms affecting the internal jugular vein. If they become large enough there presents a risk of rupture, thrombosis, embolization or compression of adjacent structures. In these circumstances, or when the patient becomes symptomatic, surgical exploration is warranted. We present a case of one of the largest aneurysms in the literature and one of only five associated with Neurofibromatosis type 1. A 63-year-old female who initially presented for a Hinchey III diverticulitis requiring laparotomy developed an incidentally discovered left neck swelling prior to discharge. After nonspecific clinical exam findings, imaging identified a thrombosed internal jugular vein aneurysm. Due to the risks associated with the particularly large size of our patient’s aneurysm, our patient underwent surgical exploration with ligation and excision. Although several techniques have been reported, for similar presentations, we recommend this technique.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Surgical resection of rare internal jugular vein aneurysm in neurofibromatosis type 1

Delvecchio

Moghul

Patel

et al. 2017

WJCC

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“…Histopathological changes in those cases treated with surgical resection include a thinning of the muscular and elastic layers; however, the great majority of cases showed no significant changes compared with the normal venous wall. [17,92] Several authors have found this abnormality in patients with neurofibromatosis type 1 and in Ehlers–Danlos syndrome. [18,39,49,67] In the present review, there was no significant association with these pathologies.…”

Section: Discussionmentioning

confidence: 99%

Internal jugular phlebectasia: A systematic review

Figueroa-Sánchez¹,

Ferrigno²,

Benvenutti-Regato³

et al. 2019

Surgical Neurology International

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Background: Internal jugular phlebectasia (IJP), the abnormal dilatation of internal jugular vein, is generally considered a benign anomaly. However, because IJP is uncommon, little is known about its natural history, and currently, no consensus on the best treatment modality is available. Methods: The purpose of this article is to conduct a systematic review of available literature on recently reported IJP cases to understand the main characteristics of IJP and its most frequent therapeutic approaches. Following the preferred reporting items for systematic reviews and meta-analyses guidelines, literature search for IJP cases was conducted in the COCHRANE, PUBMED, EBSCOHOST, SCOPUS, OVID, and SCIELO databases. Results: A total of 97 original articles were found, with a total of 247 IJP cases reported including both pediatric and adult patients. Conclusions: To the best of our knowledge, this study is the largest systematic review analyzing all the reported cases of IJP. IJP is considered by most authors as a benign abnormality that predominantly affects the right jugular vein. It is most commonly diagnosed in children. At present, conservative treatment is preferred for pediatric but not for adult patients. Multicenter randomized prospective studies are required to further understand this rare anomaly.

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“…Venous aneurisms of the neck are rare entities, typically asymptomatic, potentially complicated by thrombosis or rupture ( 1 , 2 ). Venous malformations of the neck associated with thromboembolic events are rarely reported in the available literature ( 3 , 4 ).…”

Section: Introductionmentioning

confidence: 99%

An atypical case of pulmonary embolism from a jugular vein

et al. 2018

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SummaryNeck venous malformations and their potentially life-threatening complications are rarely reported in the available literature. Cases of aneurysmal or hypo-plastic jugular vein thrombosis associated with systemic embolization have not been frequently reported. We present the case of a 60-year-old male, without any known risk factors for thromboembolic disease, admitted for sudden onset dyspnea. The physical examination was remarkable for a right lateral cervical mass, expanding with Valsalva maneuver. Thoracic CT with contrast established the diagnosis of bilateral pulmonary embolism and raised the suspicion of superior vena cava and right atrial thrombosis. Bedside transthoracic echocardiography confirmed the presence of a large right atrial thrombus, with intermittent protrusion through the tricuspid valve. Systemic thrombolysis with Alteplase was initiated shortly after diagnosis, in parallel with unfractionated heparin, with complete resolution of the intracavitary thrombus documented by echocardiography. The patient showed significant improvement in symptoms and was later started on oral anticoagulation. Computed vascular tomography of the neck was performed before discharge, showing hypoplasia of the left internal jugular vein and aneurismal dilation of the contralateral internal jugular vein, without thrombosis. There were no identifiable systemic causes for thrombosis. Surgical resection of the aneurismal jugular vein was excluded, because of its potential to cause intracranial hypertension. The preferred therapeutic option in this case was long-term oral anticoagulation.Learning points:Internal jugular venous malformations, such as aneurisms or hypoplasia, could be associated with an increased risk of thrombosis and major embolic events.Systemic thrombolysis can be an efficient solution in cases of pulmonary embolism with right heart thrombosis.Multimodality imaging is greatly valuable in clarifying the diagnosis of atypical cases.

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Multiple venous aneurysms of neck

Cited by 11 publications

References 4 publications

Surgical resection of rare internal jugular vein aneurysm in neurofibromatosis type 1

Surgical resection of rare internal jugular vein aneurysm in neurofibromatosis type 1

Internal jugular phlebectasia: A systematic review

An atypical case of pulmonary embolism from a jugular vein

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