Surgical Resection of an Intravascular Lipoma of the Superior Vena Cava

Vasc Endovascular Surg. 2023 Feb;57(2):169-174. doi: 10.1177/15385744221130862. Epub 2022 Sep 28.

Abstract

Intravascular lipomas (IVL) located in the superior vena cava (SVS) are rare benign primary venous tumors with less than 15 cases reported in the literature. We report a case of a 64-year-old woman with IVL of the SVC extending to the right brachiocephalic vein. She was treated successfully using a hybrid procedure which involved endovascular control of the right subclavian vein and surgical approach via median sternotomy followed by mass resection and use of pericardial patch for vein defect closure.

Keywords: Intravascular lipoma; intravascular tumor; superior vena cava.

Publication types

  • Case Reports

MeSH terms

  • Brachiocephalic Veins / diagnostic imaging
  • Brachiocephalic Veins / pathology
  • Brachiocephalic Veins / surgery
  • Female
  • Humans
  • Lipoma* / diagnostic imaging
  • Lipoma* / pathology
  • Lipoma* / surgery
  • Middle Aged
  • Subclavian Vein
  • Treatment Outcome
  • Vena Cava, Superior* / diagnostic imaging
  • Vena Cava, Superior* / surgery