scholarly journals Malignant superior vena cava syndrome presenting after trauma

CJEM ◽  
1999 ◽  
Vol 1 (02) ◽  
pp. 112-114
Author(s):  
Laura A. Price ◽  
Trevor L. Gilkinson
Keyword(s):  
Superior Vena Cava ◽  
Malignant Disease ◽  
Motor Vehicle ◽  
Superior Vena Cava Syndrome ◽  
Superior Vena ◽  
Vena Cava ◽  
Motor Vehicle Crash ◽  
Svc Syndrome ◽  
Facial Swelling ◽  
Vena Cava Syndrome

SUMMARY: A 41-year-old man was brought to the ED after a motor vehicle crash. On presentation, he demonstrated symptoms compatible with superior vena cava (SVC) syndrome, including extreme dyspnea, face and neck cyanosis and facial swelling. A chest tube was inserted and drained large amounts of sanguineous fluid. An exploratory thoracotomy revealed an extensive tumour encasing the SVC and the hilum. Biopsy confirmed the diagnosis of T-cell lymphoma. The most common cause of SVC syndrome is malignant disease, with bronchogenic carcinoma and lymphoma being most frequent. Review of the literature uncovered only a few anecdotal reports of traumatic SVC syndrome. There are no previous reported cases of malignant SVC syndrome presenting in association with trauma.

scholarly journals Thrombogenic Catheter-Associated Superior Vena Cava Syndrome

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Imran Shaikh ◽  
Kenneth Berg ◽  
Nicholas Kman
Keyword(s):  
Superior Vena Cava ◽  
Superior Vena Cava Syndrome ◽  
Superior Vena ◽  
Vena Cava ◽  
Signs And Symptoms ◽  
External Compression ◽  
Central Lines ◽  
Svc Syndrome ◽  
History Of ◽  
Vena Cava Syndrome

Superior vena cava syndrome has historically been associated with malignancy. With the increasing use of indwelling central lines, catheters, and pacemakers in the past decade, there have been an increasing number of cases associated with thrombosis rather than by direct external compression. Patients presenting to the ED with an acute process of SVC syndrome need to be assessed in a timely fashion. Computed tomography angiography (CTA) or magnetic resonance angiogram (MRA) are superb modalities for diagnosis and can quickly be used in the ED. Treatment is oriented towards the underlying cause of the syndrome. In cases of thrombogenic catheter-associated SVC syndrome, anticoagulation is the mainstay of treatment. We present a case report and discussion of a 56-year-old male with a history of metastatic colorectal cancer and an indwelling central venous port with acute signs and symptoms of superior vena cava syndrome.

scholarly journals Endovascular treatment of superior vena cava syndrome caused by malignant disease

2014 ◽  
Vol 59 (6) ◽  
pp. 1705-1706 ◽  
Author(s):  
Maria Lourdes del Río Solá ◽  
Ruth Fuente Garrido ◽  
Vicente Gutiérrez Alonso ◽  
Carlos Vaquero Puerta
Keyword(s):  
Endovascular Treatment ◽  
Superior Vena Cava ◽  
Malignant Disease ◽  
Superior Vena Cava Syndrome ◽  
Superior Vena ◽  
Vena Cava ◽  
Vena Cava Syndrome

A review of endovascular stenting for superior vena cava syndrome in fibrosing mediastinitis

2019 ◽  
Vol 25 (2) ◽  
pp. 174-183
Author(s):  
Himanshu Deshwal ◽  
Subha Ghosh ◽  
Karen Magruder ◽  
John R Bartholomew ◽  
Jennifer Montgomery ◽  
...  
Keyword(s):  
Superior Vena Cava ◽  
Superior Vena Cava Syndrome ◽  
Superior Vena ◽  
Vena Cava ◽  
Endovascular Stenting ◽  
Fibrosing Mediastinitis ◽  
First Line Therapy ◽  
Svc Syndrome ◽  
Life Threatening ◽  
Vena Cava Syndrome

Fibrosing mediastinitis (FM) is a rare disorder of inflammation and fibrosis involving the mediastinum. The formation of fibroinflammatory mass in the mediastinum can lead to obstruction of mediastinal structures and cause severe debilitating and life-threatening symptoms. Superior vena cava syndrome (SVCS) is a dreaded complication of FM with no medical therapy proven to be efficacious. Spiral vein grafting has long been utilized as first-line therapy for SVC syndrome due to FM. Endovascular repair with stents and angioplasty for malignant causes of SVC syndrome is well established. However, there are limited data on their utility in SVC syndrome due to FM. We present two cases of SVC syndrome due to FM treated with endovascular stenting and a detailed review of current literature on its utility in SVCS due to benign causes.

Alternative surgical procedure for treating superior vena cava syndrome in a hemodialysis patient

2018 ◽  
Vol 19 (4) ◽  
pp. 401-403
Author(s):  
Chen L Yao ◽  
Zheng L Tan ◽  
Ran Tian ◽  
Peng Miao ◽  
Xin Chen ◽  
...  
Keyword(s):  
Pleural Effusion ◽  
Superior Vena Cava ◽  
Superior Vena Cava Syndrome ◽  
Superior Vena ◽  
Vena Cava ◽  
Venous Intervention ◽  
Bilateral Pleural Effusion ◽  
Pericardial Patch ◽  
Facial Swelling ◽  
Vena Cava Syndrome

Background: The incidence of superior vena cava syndrome has been increasing in hemodialysis patients with the widespread use of dialysis catheters. Although endovascular intervention remains the primary choice for treatment, the long-term patency rate is not optimistic. Occlusive lesions are often encountered that cannot be opened using this intervention. Therefore, we chose to present this case involving a pericardial patch used to reconstruct the superior vena cava in the treatment of catheter-associated chronic superior vena cava occlusion. Methods: Here, we report a case of facial swelling and severe bilateral pleural effusion secondary to superior vena cava occlusion in a 41-year-old woman. An endovascular venous intervention was attempted initially but failed. Finally, we adopted a procedure using the pericardium as a patch to reconstruct the superior vena cava, maintaining most of the original anatomical structure. Results: This patient’s facial swelling and bilateral pleural effusion disappeared after the operation. In addition, her symptoms of coughing and dyspnea were relieved. The Brescia-Cimino fistula in her left forearm functioned well. Conclusion: The use of a pericardial patch to reconstruct the superior vena cava is a reliable approach in patients who are not candidates for endovascular treatment.

scholarly journals Superior Vena Cava Syndrome and Colon Carcinoma: A Report of a Multifactorial Association

2015 ◽  
Vol 2015 ◽  
pp. 1-5
Author(s):  
Joana Espírito Santo ◽  
Inês Coutinho ◽  
Ana Pimentel ◽  
Rui Garcia ◽  
Rui Marques dos Santos
Keyword(s):  
Colon Carcinoma ◽  
Superior Vena Cava ◽  
Superior Vena Cava Syndrome ◽  
Superior Vena ◽  
Vena Cava ◽  
Transfusion Therapy ◽  
Clinical Prognosis ◽  
Svc Syndrome ◽  
Increased Risk ◽  
Vena Cava Syndrome

Introduction. Superior vena cava (SVC) syndrome results from the obstruction of blood flow through the SVC, having distinct pathophysiological underlying mechanisms. Cancer is associated with an increased risk of thromboembolism that varies according to patient-, tumor-, and treatment-related factors. An individualized clinical approach is important to pursue the accurate diagnosis of the underlying pathology causing thromboembolism in cancer patients.Case Presentation. The authors present a case of a 58-year-old male with an infrequent presentation of an unknown colon carcinoma, who has never had any symptom until he was hospitalized with the diagnosis of superior vena cava syndrome and pulmonary thromboembolism. The patient had an advanced disease by the time of diagnosis and molecular alterations contributing to abnormal hemostasis. He presented venous and arterial thromboembolism and developed disseminated intravascular coagulopathy after surgery, anticoagulant and transfusion therapy, dying 40 days after the hospitalization.Conclusion. The authors discuss thromboembolic disease and tumor metastasis roles in a cancer patient with SVC syndrome. Thromboembolism in a malignancy context is a challenging clinical entity. A multifactorial perspective of the thrombotic disease is warranted to approach thromboembolism risk and stratify patients suitable to receive adequate anticoagulant prophylaxis and targeted therapies, aiming to improve clinical prognosis.

scholarly journals Complex Perioperative Decision-Making: Liver Resection in a Patient with Extensive Superior Vena Cava/Right Atrial Thrombus and Superior Vena Cava Syndrome

2016 ◽  
Vol 2016 ◽  
pp. 1-4
Author(s):  
Benjamin Kloesel ◽  
Robert W. Lekowski
Keyword(s):  
Superior Vena Cava ◽  
Perioperative Management ◽  
Superior Vena Cava Syndrome ◽  
Superior Vena ◽  
Vena Cava ◽  
Upper Extremities ◽  
Right Atrial ◽  
Atrial Thrombus ◽  
Svc Syndrome ◽  
Vena Cava Syndrome

The perioperative management of patients suffering from extensive superior vena cava (SVC) thrombus complicated by SVC syndrome presents unique challenges. The anesthesiologist needs to be prepared for possible thrombus dislodgement resulting in pulmonary embolism and also has to assess the need for fluid resuscitation given the dangers of massive intravenous fluid application via the upper extremities. We present our perioperative approach in management of a patient scheduled for right hepatectomy who was previously diagnosed with extensive SVC and right atrial (RA) thrombus complicated by SVC syndrome.

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