CASE REPORTS   

International Angiology 2003 September;22(3):325-7

Copyright © 2003 EDIZIONI MINERVA MEDICA

lingua: Inglese

Bilateral retrosternal dislocation and hypertrophy of medial clavicular heads with compression to brachiocephalic vein

Ege T. ¹, Canbaz S. ¹, Pekindil G. ², Duran E. ¹

¹ Department of Cardiovascular Surgery, Trakya University Medical School, Edirne, Turkey 2 Department of Radiology, Trakya Universit, Medical School, Edirne, Turkey

A 36-year-old woman with ­effort dysp­nea for 2 years, ­venous con­ges­tion of the left arm for 6 ­months and who did not have a his­to­ry of a tho­rac­ic trau­ma was hos­pi­tal­ized. Pos­te­ri­or bilat­er­al dis­lo­ca­tion of the ster­noc­la­vic­u­lar ­joints and com­pres­sion of the brach­i­oc­e­phal­ic vein were diag­nosed and con­formed by com­put­ed tomog­ra­phy (CT). The joint could not be ­reduced ­because of the old dis­lo­ca­tion and destruc­tion of the joint in the oper­a­tion. The heads of the clav­i­cles were resect­ed and the vein com­pres­sion was elim­i­nat­ed. Six weeks later, ­venous con­ges­tion dis­ap­peared and the brach­i­oc­e­phal­ic vein was pat­ent.