Unilateral breast enlargement secondary to right brachiocephalic vein occlusion

We describe a 56-year-old woman who received dialysis through a right jugul ar catheter and developed a progressive right breast enlargement 1 year aft er arteriovenous graft shunt construction in the right forearm. Arm edema w as not observed. A fistulography showed retrograde long thoracic and latera l thoracic veins flow secondary to a right brachiocephalic vein occlusion, Breast enlargement disappeared completely 2 weeks after a transfemoral ball oon angioplasty and stent placement. (C) 2000 by the National Kidney Founda tion, Inc.