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http://dx.doi.org/10.3904/kjm.2013.84.4.597

An Unusual Cause of Left Brachiocephalic Vein Occlusion: Extrinsic Compression by the Aortic Arch in a Hemodialysis Patient  

Nam, Hee Chul (Department of Internal Medicine, The Catholic University of Korea College of Medicine)
Kang, Seung Hun (Department of Internal Medicine, The Catholic University of Korea College of Medicine)
Kim, Yeon-Ji (Department of Internal Medicine, The Catholic University of Korea College of Medicine)
Lee, Su Lim (Department of Radiology, The Catholic University of Korea College of Medicine)
Kim, Young-Ok (Department of Internal Medicine, The Catholic University of Korea College of Medicine)
Yoon, Sun Ae (Department of Internal Medicine, The Catholic University of Korea College of Medicine)
Yun, Yu-Seon (Department of Internal Medicine, The Catholic University of Korea College of Medicine)
Publication Information
The Korean Journal of Medicine / v.84, no.4, 2013 , pp. 597-601 More about this Journal
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.
Keywords
Brachiocephalic vein; Arterial occlusive diseases; Aortic arch;
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