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J Thorac Cardiovasc Surg 2006;131:500-501
© 2006 The American Association for Thoracic Surgery


Brief Communication

Internal thoracic vein aneurysm presenting as an anterior mediastinal mass

G. Hossein Almassi, MD *

Division of Cardiothoracic Surgery, Medical College of Wisconsin, Milwaukee Wis.

Received for publication July 7, 2005; revisions received September 21, 2005; accepted for publication September 28, 2005.

* Address for reprints: G. Hossein Almassi, MD, Professor, Division of Cardiothoracic Surgery, Medical College of Wisconsin, 9200 W. Wisconsin Ave, Milwaukee, WI 53226 (Email: halmassi@mcw.edu).

The first 20% of the full text of this article appears below.


Figure 1
Dr H. Almassi


Anterior mediastinal masses most commonly are associated with thymic, thyroid, parathyroid, and lymphatic origin. Excluding aortic disease, vascular origin for anterior mediastinal masses is not common. We present a case of an aneurysm of the internal thoracic vein presenting as an enlarging anterior mediastinal mass.

Clinical Summary

A 52-year-old woman underwent a triple arthrodesis of the right foot for orthopedic injuries sustained in a car crash 16 months earlier. One week later while she was at home, acute shortness of breath with wheezing developed. Results of a contrast computed tomographic (CT) scan of the chest were negative for pulmonary embolism. CT scan, however, revealed a 2.2-cm round . . . [Full Text of this Article]







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