Key result
Surgical resection of subclavian vein lipoma achieves complete patency at one month.
Case Report (n=1)
Successful resection of incidental intravascular lipoma preserves patency; leaves open optimal surveillance versus intervention for asymptomatic cases.
We present the case of an asymptomatic 60 year old man with an incidental finding of a tumour lying adjacent to the superior vena cava on echocardiography. Duplex ultrasonography and CT scanning demonstrated a tumour lying adjacent to the subclavian vein as well as within the superior vena cava. At operation a lipoma was found lying adjacent to the subclavian vein. This passed within the vein lumen more proximally. The tumour was successfully removed and all major veins remained patent at follow-up one month later. Histological examination confirmed that the tumour was lipoma without evidence of malignant change.
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Lomeo et al. (2007) conducted a case report in Intra and extra-vascular lipoma of the subclavian vein (n=1). Surgical removal was evaluated on Successful removal and vein patency. Surgical removal of an intra and extra-vascular lipoma of the subclavian vein was successful, with all major veins remaining patent at one month follow-up.
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