An Unusual Cause of Left Brachiocephalic Vein Occlusion: Extrinsic Compression by the Aortic Arch in a Hemodialysis Patient.
- Author:
Hee Chul NAM
1
;
Seung Hun KANG
;
Yeon Ji KIM
;
Su Lim LEE
;
Young Ok KIM
;
Sun Ae YOON
;
Yu Seon YUN
Author Information
1. Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea. junpearl19@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Brachiocephalic vein;
Arterial occlusive diseases;
Aortic arch
- MeSH:
Aorta, Thoracic;
Arterial Occlusive Diseases;
Brachiocephalic Veins;
Catheterization;
Catheterization, Central Venous;
Catheters;
Central Venous Catheters;
Constriction, Pathologic;
Humans;
Korea;
Renal Dialysis;
Veins
- From:Korean Journal of Medicine
2013;84(4):597-601
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The most common cause of central venous obstruction including left braciocephalic vein is intrinsic stenosis associated with a previous central venous catheter or other devices. Occasionally, patients with no history of central venous catheterization present with left brachiocephalic vein occlusion. This occurs as a result of extrinsic compression of the brachiocephalic vein by adjacent vascular structures, especially the aortic arch and its branches. Here, we report a case of left brachiocephalic vein compression caused by a tortuous, ectatic aortic arch in a patient with no history of central vein catheterization. To our knowledge, this is the first report of extrinsic compression of the brachiocephalic vein by the aortic arch in Korea.
