Venous outlet syndrome caused by capillary hemangioma of the subclavian vein

Asian Cardiovasc Thorac Ann. 2018 Mar;26(3):224-226. doi: 10.1177/0218492318760693. Epub 2018 Feb 14.

Abstract

We report a case of intravenous lobular capillary hemangioma in the subclavian vein, causing venous thoracic outlet syndrome. A 32-year-old woman was referred to our unit with facial and left arm oedema. Ultrasound evaluation, computed tomography and magnetic resonance imaging showed a hypervascular mass in the middle portion of the subclavian vein, with arrest of venous flow. Through an infraclavicular approach, we excised the venous axis with the endovascular palpable tumour that extended from the axillary-subclavian junction to the jugular-subclavian junction, without reconstruction. The postoperative period was uneventful. The patient recovered well without recurrence at one year from surgery.

Keywords: Benign vascular neoplasm; Capillary hemangioma; Pyogenic granuloma; Subclavian vein; Thoracic outlet syndrome.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Biopsy
  • Computed Tomography Angiography
  • Female
  • Hemangioma, Capillary / complications*
  • Hemangioma, Capillary / diagnostic imaging
  • Hemangioma, Capillary / pathology
  • Hemangioma, Capillary / surgery
  • Humans
  • Magnetic Resonance Angiography
  • Phlebography / methods
  • Subclavian Vein* / diagnostic imaging
  • Subclavian Vein* / pathology
  • Subclavian Vein* / surgery
  • Thoracic Outlet Syndrome / diagnostic imaging
  • Thoracic Outlet Syndrome / etiology*
  • Thoracic Outlet Syndrome / surgery
  • Treatment Outcome
  • Ultrasonography
  • Vascular Neoplasms / complications*
  • Vascular Neoplasms / diagnostic imaging
  • Vascular Neoplasms / pathology
  • Vascular Neoplasms / surgery