title: Giant saccular superior vena cava aneurysm-a rare and difficult clinical case.
abstract: A superior vena cava (SVC) aneurysm is an extremely rare case of vascular malformation in the chest cavity. This is a report of a case of a 57-year-old woman with a saccular SVC aneurysm which was 8 cm wide. The chest computed tomography (CT) scan confirmed a giant 75 mm × 79 mm × 81 mm mass containing the contrast medium from SVC, constricting the right lung parenchyma, narrowing the right innominate vein, in contact with the anterolateral chest cavity wall, and adjoining the superior mediastinum. Under general anesthesia and employing the median sternotomy approach, using a cardiopulmonary bypass (CPB), the venous aneurysm was successfully resected. The postoperative period was uneventful. Radical surgical resection using a sternotomy and a CPB is recommended.
authors.affiliation: 1 Department of Surgery, 4th Military Teaching Hospital, 50-981 Wroclaw, Poland ; 2 Department of Clinical Proceedings, Faculty of Health Science, Wroclaw Medical University, 51-618 Wroclaw, Poland ; 3 Department of Cardiac Surgery, 4th Military Teaching Hospital, 50-981 Wroclaw, Poland.
authors.forename: Dariusz
authors.initials: D
authors.lastname: Janczak
authors.affiliation: 1 Department of Surgery, 4th Military Teaching Hospital, 50-981 Wroclaw, Poland ; 2 Department of Clinical Proceedings, Faculty of Health Science, Wroclaw Medical University, 51-618 Wroclaw, Poland ; 3 Department of Cardiac Surgery, 4th Military Teaching Hospital, 50-981 Wroclaw, Poland.
authors.forename: Jacek
authors.initials: J
authors.lastname: Skiba
authors.affiliation: 1 Department of Surgery, 4th Military Teaching Hospital, 50-981 Wroclaw, Poland ; 2 Department of Clinical Proceedings, Faculty of Health Science, Wroclaw Medical University, 51-618 Wroclaw, Poland ; 3 Department of Cardiac Surgery, 4th Military Teaching Hospital, 50-981 Wroclaw, Poland.
authors.forename: Marek
authors.initials: M
authors.lastname: Gemel
authors.affiliation: 1 Department of Surgery, 4th Military Teaching Hospital, 50-981 Wroclaw, Poland ; 2 Department of Clinical Proceedings, Faculty of Health Science, Wroclaw Medical University, 51-618 Wroclaw, Poland ; 3 Department of Cardiac Surgery, 4th Military Teaching Hospital, 50-981 Wroclaw, Poland.
authors.forename: Marek
authors.initials: M
authors.lastname: Mak
authors.affiliation: 1 Department of Surgery, 4th Military Teaching Hospital, 50-981 Wroclaw, Poland ; 2 Department of Clinical Proceedings, Faculty of Health Science, Wroclaw Medical University, 51-618 Wroclaw, Poland ; 3 Department of Cardiac Surgery, 4th Military Teaching Hospital, 50-981 Wroclaw, Poland.
authors.forename: Agnieszka
authors.initials: A
authors.lastname: Ziomek
authors.affiliation: 1 Department of Surgery, 4th Military Teaching Hospital, 50-981 Wroclaw, Poland ; 2 Department of Clinical Proceedings, Faculty of Health Science, Wroclaw Medical University, 51-618 Wroclaw, Poland ; 3 Department of Cardiac Surgery, 4th Military Teaching Hospital, 50-981 Wroclaw, Poland.
authors.forename: Maciej
authors.initials: M
authors.lastname: Malinowski
authors.affiliation: 1 Department of Surgery, 4th Military Teaching Hospital, 50-981 Wroclaw, Poland ; 2 Department of Clinical Proceedings, Faculty of Health Science, Wroclaw Medical University, 51-618 Wroclaw, Poland ; 3 Department of Cardiac Surgery, 4th Military Teaching Hospital, 50-981 Wroclaw, Poland.
authors.forename: Tadeusz
authors.initials: T
authors.lastname: Dorobisz
authors.affiliation: 1 Department of Surgery, 4th Military Teaching Hospital, 50-981 Wroclaw, Poland ; 2 Department of Clinical Proceedings, Faculty of Health Science, Wroclaw Medical University, 51-618 Wroclaw, Poland ; 3 Department of Cardiac Surgery, 4th Military Teaching Hospital, 50-981 Wroclaw, Poland.
authors.forename: Michal
authors.initials: M
authors.lastname: Lesniak
authors.affiliation: 1 Department of Surgery, 4th Military Teaching Hospital, 50-981 Wroclaw, Poland ; 2 Department of Clinical Proceedings, Faculty of Health Science, Wroclaw Medical University, 51-618 Wroclaw, Poland ; 3 Department of Cardiac Surgery, 4th Military Teaching Hospital, 50-981 Wroclaw, Poland.
authors.forename: Dawid
authors.initials: D
authors.lastname: Janczak
authors.affiliation: 1 Department of Surgery, 4th Military Teaching Hospital, 50-981 Wroclaw, Poland ; 2 Department of Clinical Proceedings, Faculty of Health Science, Wroclaw Medical University, 51-618 Wroclaw, Poland ; 3 Department of Cardiac Surgery, 4th Military Teaching Hospital, 50-981 Wroclaw, Poland.
authors.forename: Mariusz
authors.initials: M
authors.lastname: Chabowski
keywords: Venous aneurysm; cardiopulmonary bypass (CPB); sternotomy; superior vena cava (SVC)