Intermittent brachiocephalic vein obstruction secondary to a thymic cyst.

Miller, J S; LeMaire, S A; Reardon, M J; Coselli, J S; Espada, R · Ann Thorac Surg · 2000

case_report · Level V

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Abstract

Mediastinal thymic cysts are usually asymptomatic and found incidentally on a routine chest roentgenogram. Rarely, they may cause symptoms of vascular obstruction. A 55-year-old woman presented with intermittent swelling in her left neck. The swelling was positional and was worse while supine and disappeared while upright. Evaluation revealed a thymic cyst causing extrinsic compression of the left brachiocephalic vein. The cyst was resected with complete resolution of the left neck swelling.

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