Spontaneous splenoazygos shunt in a patient with portal hypertension: an exceedingly rare occurrence

Figueiredo, Filipa; Costa, João; Lameiras, Raquel; Ramalho, Miguel

doi:10.17235/reed.2019.6091/2018

Cited by 2 publications

(2 citation statements)

References 3 publications

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“…A combination of an ultrasonic scalpel and electrocoagulation hook was used to carefully separate the area of the aortic branch to avoid the risk of bleeding. Therefore, preoperative three-dimensional reconstruction plays an important role in the diagnosis of AVAs and the formulation of surgical plans [ 6 , 8 , 16 , 33 ].…”

Section: Discussionmentioning

confidence: 99%

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Single-port thoracoscopic removal of an azygos vein aneurysm: a case report and literature review

Yao

Xie

et al. 2023

J Cardiothorac Surg

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Background Azygos vein aneurysms (AVAs) are extremely rare. The majority of patients have no obvious clinical symptoms, so they are found by physical examination or by chance. There is limited clinical treatment experience that can be referred to, and there are no clear guidelines or research evidence standardizing the surgical and interventional therapy. Here, we report a patient with idiopathic AVA whose three-dimensional reconstruction of the tumor was completed before surgery. On the basis of three-dimensional reconstruction, single-port thoracoscopic resection of the AVA was successfully completed and reported for the first time. The previously reported cases are summarized to provide guidance for the diagnosis and treatment of patients with AVAs. Case presentation A 56-year-old man was transferred to our hospital due to “dysphagia”. The diagnosis of AVA was made after enhanced computed tomography, gastroscopy, fiberoptic bronchoscopy, and three-dimensional reconstruction. Congenital weakness or degenerative changes causes the vein walls to be extremely thin that the AVA had the risk of ruptur. Furthermore, the patient had symptoms of dysphagia, he received single-port thoracoscopic surgery. After the operation, his dysphagia disappeared. The postoperative pathology confirmed hemangioma. The patient was discharged 3 days after surgery without any complications. Conclusions AVAs are rare. Preoperative three-dimensional reconstruction can greatly help surgeons clarify the disease diagnosis, formulate the surgical plan, avoid damage to the surrounding vital organs, and reduce intraoperative bleeding. Thoracoscopic surgery to remove AVAs is difficult and has a high risk of bleeding, while more minimally invasive single-port thoracoscopic surgery is also safe and effective for the treatment of AVAs.

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Section: Discussionmentioning

confidence: 99%

“…Therefore, preoperative three-dimensional reconstruction plays an important role in the diagnosis of AVAs and the formulation of surgical plans [ 6 , 8 , 16 , 33 ].…”

Section: Discussionmentioning

confidence: 99%

Single-port thoracoscopic removal of an azygos vein aneurysm: a case report and literature review

Yao

Xie

et al. 2023

J Cardiothorac Surg

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Esophageal and stomach varices: physiological and anatomical features of formation

Chooklin¹,

Chuklin

2022

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Spontaneous splenoazygos shunt in a patient with portal hypertension: an exceedingly rare occurrence

Cited by 2 publications

References 3 publications

Single-port thoracoscopic removal of an azygos vein aneurysm: a case report and literature review

Single-port thoracoscopic removal of an azygos vein aneurysm: a case report and literature review

Esophageal and stomach varices: physiological and anatomical features of formation

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