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      Resection of an azygos vein aneurysm with thrombosis.

      General Thoracic and Cardiovascular Surgery
      Aneurysm, radiography, surgery, Azygos Vein, Female, Humans, Middle Aged, Phlebography, methods, Thoracic Surgery, Video-Assisted, Tomography, X-Ray Computed, Treatment Outcome, Venous Thrombosis

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          Abstract

          Aneurysm of the azygos vein is rare. We describe the case of a 51-year-old nonsmoking woman with a posterior mediastinal mass caused by a giant azygos vein aneurysm with subtotal thrombosis. Surgical resection of the azygos vein was offered to our patient as a treatment option owing to theoretical risks of rupture and pulmonary embolism. After taping the azygos vein proximally and distally, the aneurysm was resected with video-assisted thoracoscopy. Approximately 30 cases have been reported in the literature to date. Dynamic computed tomography and a videoassisted approach were useful for the diagnosis and treatment for this abnormality.

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