The most common cause of central venous obstruction including left braciocephalic
vein is intrinsic
stenosis associated with a previous
central venous catheter or other
devices. Occasionally,
patients with no
history of
central venous catheterization present with left
brachiocephalic vein occlusion. This occurs as a result of extrinsic compression of the
brachiocephalic vein by adjacent vascular structures, especially the
aortic arch and its branches. Here, we
report a case of left
brachiocephalic vein compression caused by a tortuous, ectatic
aortic arch in a
patient with no
history of central
vein catheterization. To our
knowledge, this is the first
report of extrinsic compression of the
brachiocephalic vein by the
aortic arch in
Korea.