title: Brachiocephalic vein bypass with sternal reconstruction for symptomatic occlusion.
abstract: Complications attributed to central venous stenosis and subsequent thrombosis are increasing in frequency and are most commonly associated with neointimal fibroplasia as well as neoplastic, fibrotic, and traumatic pathologies. We present the successful venous bypass and thoracic wall reconstruction of a 58-year-old female with chronic atypical symptoms secondary to brachiocephalic vein occlusion from congenital thoracic dystrophy.
authors.affiliation: Division of Vascular and Endovascular Surgery, Mayo Clinic, Phoenix, AZ.
authors.forename: Mark E
authors.initials: ME
authors.lastname: O'Donnell
authors.affiliation: Division of Cardiothoracic Surgery, Mayo Clinic, Phoenix, AZ.
authors.forename: Dawn E
authors.initials: DE
authors.lastname: Jaroszewski
authors.affiliation: Division of Cardiothoracic Surgery, Mayo Clinic, Phoenix, AZ.
authors.forename: Kathryn
authors.initials: K
authors.lastname: Coan
authors.affiliation: Division of Vascular Medicine, Mayo Clinic, Phoenix, AZ.
authors.forename: Francis J
authors.initials: FJ
authors.lastname: Kazmier
authors.affiliation: Division of Vascular and Endovascular Surgery, Mayo Clinic, Phoenix, AZ. Electronic address: money.samuel@mayo.edu.
authors.forename: Samuel R
authors.initials: SR
authors.lastname: Money
mesh_terms: D000368:Aged; D000800:Angioplasty, Balloon / Q000295:instrumentation; D016121:Brachiocephalic Veins / Q000000981:diagnostic imaging / Q000601:surgery*; D003251:Constriction, Pathologic; D019299:Decompression, Surgical; D005260:Female; D006801:Humans; D009136:Muscular Dystrophies / Q000151:congenital / Q000175:diagnosis / Q000601:surgery*; D010690:Phlebography / Q000379:methods; D019651:Plastic Surgery Procedures; D012008:Recurrence; D012501:Saphenous Vein / Q000637:transplantation*; D015607:Stents; D013249:Sternum / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000601:surgery*; D019616:Thoracic Surgical Procedures; D035441:Thoracic Wall / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014652:Vascular Diseases / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*