title: Subclavian vein aneurysm secondary to a benign vessel wall hamartoma.
abstract: Venous aneurysms are rare clinical entities, particularly in children, and their presentation and natural history often depend on the anatomical location and underlying etiology. We present a single case of a 12-year-old girl who presented with a palpable right supraclavicular mass. Imaging evaluation with CT, conventional venography, MRI and sonography revealed a large fusiform subclavian vein aneurysm with an unusual, mass-like fibrofatty component incorporated into the vessel wall. The girl ultimately required complete resection of the right subclavian vein with placement of a synthetic interposition graft. This case provides a radiology/pathology correlation of an entity that has not previously been described as well as an example of the utility of multiple imaging modalities to aid diagnosis and preoperative planning.
authors: Section of Pediatric Interventional Radiology, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH, 43205, USA, patrick.warren@nationwidechildrens.org.
authors: Patrick
authors: P
authors: Warren
authors: Maya
authors: M
authors: Spaeth
authors: Vinay
authors: V
authors: Prasad
authors: Patrick
authors: P
authors: McConnell
mesh_terms: D000783:Aneurysm / Q000175:diagnosis* / Q000209:etiology* / Q000601:surgery; D002648:Child; D005260:Female; D006222:Hamartoma / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D011859:Radiography; D013350:Subclavian Vein / Q000000981:diagnostic imaging* / Q000601:surgery; D016896:Treatment Outcome; D014652:Vascular Diseases / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery
references: J Pediatr Surg. 1972 Apr;7(2):106-11
references: 5023186
references: ScientificWorldJournal. 2012;2012:386478
references: 22566766
references: Cardiovasc Pathol. 2009 Jul-Aug;18(4):243-6
references: 18417368
references: J Vasc Surg. 2007 May;45(5):1080-2
references: 17466806
references: Ann Surg. 1982 Dec;196(6):720-4
references: 7149825
references: J Cardiovasc Surg (Torino). 2002 Aug;43(4):527-9
references: 12124568
references: J Thorac Cardiovasc Surg. 2010 Dec;140(6):1437-8
references: 21078429
references: Radiology. 1989 Jan;170(1 Pt 1):109-12
references: 2642338