Case ReportClinical Diagnosis and Treatment of Internal Jugular Venous Aneurysms
Section snippets
Study Design and Patients’ Characteristics
Electronic health records and clinical notes of 6 consecutive patients diagnosed with IJV aneurysms in our institution from 2007 to 2017 were retrospectively analyzed. The cohort included 2 male and 4 female patients, aged from 2 to 46 years, with a median age of 31 years. All 6 patients were diagnosed with true IJV aneurysms with no history of trauma or venous catheterization. We defined a venous aneurysm as a localized dilatation of the vessel wall of at least 1.5 times the diameter of the
Background
Venous aneurysms are very rare with the first incidence of congenital mediastinal venous aneurysm reported by Harris in 1928.2 Later, venous aneurysmal lesions in other locations were occasionally reported. According to the current literature, 40% of patients with venous aneurysms younger than 40 years display no difference in sex or ethnicity.3 Etiology and pathophysiology of venous aneurysms remain undetermined. Fifty-two percent of venous aneurysms present as soft masses, with only 1.2%
Conclusion
IJV aneurysms are rare and usually benign; however, they pose potential risk of thrombosis because of blood stasis at the site of vessel dilatation. Duplex ultrasound in experienced hands allows for prompt diagnosis, which can be further confirmed if the neck bulging enlarges with Valsalva maneuver. CT and MRI can provide additional information about the surrounding tissues. Asymptomatic patients should be treated conservatively and closely followed up. If there are, however, any accompanying
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Current Perspective and Strategy on Management of Spontaneous Jugular Venous Ectasia: A Systematic Review
2023, Annals of Vascular SurgeryCitation Excerpt :In addition, pulmonary embolism did not occur in patients who underwent tangential aneurysmectomy with lateral venorrhaphy; regular anticoagulant and antiplatelet therapy was not needed postoperatively. However, it has been recommended in existing studies that patients treated conservatively or with surgery receive regular anticoagulant therapy.20 Based on our results and experience, we suggested that anticoagulant therapy is not necessary for patients who received surgical treatment.
Jugular Venous Aneurysm
2020, Annals of Vascular SurgeryCitation Excerpt :Surgical resection may be offered for either cosmetic or psychosocial reasons or to patients with painful aneurysms secondary to thrombosis.2 Surgical intervention is pursued to eliminate the potential risk of venous aneurysm rupture, thrombosis, and/or pulmonary embolism.6,8 The intraoperative approach involves wide surgical exposure of the carotid sheath achieved by elevation of platysmal flaps.
Internal jugular venous aneurysm—A report of two cases with literature review
2020, Journal of Vascular Surgery Cases and Innovative TechniquesCitation Excerpt :Saccular aneurysms have higher tendency for development of mural thrombosis compared with those that are fusiform.22 Some authors suggest that pain or tenderness is related to underlying mural thrombus formation, and therefore resection should be considered more often for a saccular aneurysm than for fusiform dilations.23 If resection is chosen, ligation of the feeding vessels with aneurysmectomy and lateral venorrhaphy or rarely with a vein patch angioplasty is frequently the operation of choice.
Venous aneurysm of the jugular vein in horses
2021, Equine Veterinary EducationDevelopment of a membrane liquid-based thin-layer cell film maker
2020, Applied Sciences (Switzerland)
Authors' contribution: H.L. and X.G. contributed to conception and design. F.W. performed the analysis and interpretation. C.Z. contributed to data collection. C.Z. wrote the article. E.C. and K.M. critically revised the article.
Declaration of conflicting interests: The authors declare no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Funding: The authors received no financial support for the research, authorship, and/or publication of this article.