Aortosternal venous compression
Aortosternal venous compression refers to compression of the brachiocephalic vein as a result of its position between the sternum and the aorta(or regional arteries). It can occur with normal as well as variant anatomy (aberrant right subclavian artery 1).
It is asymptomatic in most cases although several symptomatic cases have been reported. Symptomatic patients may be have left upper arm and neck swelling.
History and etymology
The first symptomatic case of the innominate vein is thought to have been described by Dr A Wurtz et.al in 1989 4.
- 1. Hernandez JA, Walser EM, Swischuk LE. Aortosternal venous compression in patients with aberrant right subclavian arteries. AJR Am J Roentgenol. 2005;184 (5): 1434-6. doi:10.2214/ajr.184.5.01841434 - Pubmed citation
- 2. Lee S, Lee JG, Cho SH. Aortosternal venous compression: innominate vein compression by the innominate artery. Ann. Thorac. Surg. 2011;92 (1): 361. doi:10.1016/j.athoracsur.2010.11.060 - Pubmed citation
- 3. Moes CA, MacDonald C, Mawson JB. Left innominate vein compression by a brachiocephalic artery anomaly. Pediatr Cardiol. 1995;16 (6): 291-3. doi:10.1007/BF00798064 - Pubmed citation
- 4. Wurtz A, Quandalle P, Lemaitre L et-al. Innominate vein compression syndrome. Br J Surg. 1989;76 (6): 575-6. Pubmed citation