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KMID : 0882420130840040597
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Korean Journal of Medicine
2013 Volume.84 No. 4 p.597 ~ p.601
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An Unusual Cause of Left Brachiocephalic Vein Occlusion: Extrinsic Compression by the Aortic Arch in a Hemodialysis Patient
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Nam Hee-Chul
Kang Seung-Hun
Kim Yeon-Ji
Lee Su-Lim
Kim Young-Ok
Yoon Sun-Ae
Yun Yu-Seon
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Abstract
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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.
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KEYWORD
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Brachiocephalic vein, Arterial occlusive diseases, Aortic arch
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