scholarly journals Superior vena cava syndrome from an invasive thymoma with transcaval invasion to the right atrium

2016 ◽  
Vol 2016 (4) ◽  
pp. rjw044
Author(s):  
Ashwad Afzal ◽  
Ivan Wong ◽  
Aleksandr Korniyenko ◽  
Alex Ivanov ◽  
Berhane Worku ◽  
...  
Keyword(s):  
Superior Vena Cava ◽  
Right Atrium ◽  
Superior Vena Cava Syndrome ◽  
Superior Vena ◽  
Vena Cava ◽  
Invasive Thymoma ◽  
Vena Cava Syndrome ◽  
The Right

scholarly journals P1250 Thymoma invading the right atrium - multimodality imaging and its importance for managing and therapeutics

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
V Ferreira ◽  
I Bravio ◽  
L Moura Branco ◽  
S Ranchordas ◽  
X Duarte ◽  
...  
Keyword(s):  
Superior Vena Cava ◽  
Right Atrium ◽  
Multimodality Imaging ◽  
Superior Vena ◽  
Vena Cava ◽  
Transoesophageal Echocardiography ◽  
Anterior Mediastinum ◽  
Invasive Thymoma ◽  
Svc Syndrome ◽  
The Right

Abstract Introduction Thymoma is the most common primary neoplasm of the anterior mediastinum. Most invasive thymomas are limited to the pericardium. Only few cases of transcaval extension with intracardiac involvement have been reported. Case report We present the case of a 15-year-old boy with previous history of infectious cerebelitis without neurologic sequelae. He presented with interscapular pain for 6 weeks (not improving with symptomatic therapy) and fever for 3 days. On admission, chest radiograph exhibited an opacification in the right hilum (Figure A). He was discharged with antibiotic prescription for presumptive pneumonia. Due to persistence of complaints he was revaluated after 5 days. Signs of superior vena cava (SVC) syndrome were noted. A computerized tomography showed a large soft tissue mass of the anterior mediastinum, in right antero-lateral topography, measuring 12.5x10x9.5 cm with central calcification and extension to the right lung (Figure B). Transthoracic and transoesophageal echocardiography showed an anterior mass compressing the pulmonary artery branch (PA) and SVC with marginal invasion of the right atrium (RA) (Figure C and D). Cardiac MRI confirmed a large mass of the anterior mediastinum with extension and invasion of the right superior lobe, invasion of the superior vena cava with extension into the RA (Figure E). Transthoracic core-needle biopsy was performed and histopathological diagnosis confirmed an invasive thymoma. The case was discussed at joint cardiothoracic surgery and oncology multidisciplinary meeting and it was agreed to neoadjuvant chemotherapy regimen followed by surgery. Intraoperatively, a large tumor invading the SVC and proximal RA was found, in accordance with the echocardiographic and MRI findings. Due to unforeseen metastatic implants on the adventitia of the main PA and ascending aorta, resection of the tumor was not performed. Palliative decompression of the venous system was performed with interposition of a ringed vascular prosthesis between the left brachiocephalic vein and the right atrial appendage. (Figure F). The patient received postoperative radiotherapy and is asymptomatic without signs of SVC syndrome for 3 months. Discussion and conclusion This report illustrates a rare case of an invasive thymoma with extension to cardiac structures. Multimodality imaging for quality decision-making was imperative in the management and for surgical planning of this case. Transthoracic and transoesophageal echocardiography remain the exams of choice for the diagnosis of intracardiac disease. As demonstrated, a high index of suspicion is needed because clinical symptoms are unspecific and late diagnosis of potentially resectable tumors are associated with a poor prognosis. Abstract P1250 Figure. Multimodality imaging

Fatal Pericardial Tamponade after Wallstent Implantation for Malignant Superior Vena Cava Syndrome

2002 ◽  
Vol 9 (5) ◽  
pp. 680-684 ◽  
Author(s):  
Matthias Martin ◽  
Iris Baumgartner ◽  
Martin Kolb ◽  
Jürgen Triller ◽  
Hans-Peter Dinkel
Keyword(s):  
Superior Vena Cava ◽  
Superior Vena Cava Syndrome ◽  
Rare Complication ◽  
Superior Vena ◽  
Vena Cava ◽  
Pericardial Tamponade ◽  
Stent Deployment ◽  
Stent Strut ◽  
Vena Cava Syndrome ◽  
The Right

Purpose: To report a rare, fatal complication of superior vena cava Wallstent implantation. Case Report: A 59-year-old man presenting with superior vena cava syndrome caused by small-cell lung cancer underwent stent implantation of 2 kissing Wallstents >1.5 cm above the right atrium. Despite correct stent deployment, vessel perforation occurred in a section not encased by tumor, which led to fatal pericardial tamponade shortly after the procedure. Autopsy revealed perforation of a stent strut through the caval wall into the pericardial space. Anatomical and methodological reasons are discussed. Conclusions: The interventionist should be aware of this rare complication. Alternative stent designs avoiding the sharp ends of Wallstents and Palmaz stents should be considered.

scholarly journals Invasive thymoma presenting as classic superior vena cava syndrome: a case of venous spread metastasis

2016 ◽  
pp. bcr2016217695
Author(s):  
Prasan Kumar Panda ◽  
Naveet Wig ◽  
Sanjeev Kumar ◽  
Sudheer Arava
Keyword(s):  
Superior Vena Cava ◽  
Superior Vena Cava Syndrome ◽  
Superior Vena ◽  
Vena Cava ◽  
Invasive Thymoma ◽  
Vena Cava Syndrome

scholarly journals Chemotherapy taste and bronchospasm: a consequence of a fistula between the superior vena cava and the right main bronchi

2021 ◽  
Vol 2021 (7) ◽  
Author(s):  
Túlio Fabiano de Oliveira Leite ◽  
Lucas Vatanabe Pazinato ◽  
Joaquim Mauricio da Motta Leal Filho
Keyword(s):  
Interventional Radiology ◽  
Female Patient ◽  
Superior Vena Cava ◽  
Superior Vena Cava Syndrome ◽  
Superior Vena ◽  
Vena Cava ◽  
Bronchial Fistula ◽  
Vena Cava Syndrome ◽  
The Right

ABSTRACT A 56-year-old female patient with upper lobe neoplasia of the right lung and superior vena cava syndrome. The patient complained about the taste of the medications during the chemotherapy sessions. Interventional radiology diagnosed cava-bronchial fistula when it injected contrast into the inferior and superior vena cava.

Mediastinal chloroma affecting the right heart with superior vena cava syndrome

1994 ◽  
Vol 127 (2) ◽  
pp. 465-468 ◽  
Author(s):  
H Dingerkus ◽  
H Völler ◽  
A Albrecht ◽  
L Hennig ◽  
H Stein ◽  
...  
Keyword(s):  
Superior Vena Cava ◽  
Superior Vena Cava Syndrome ◽  
Superior Vena ◽  
Vena Cava ◽  
Right Heart ◽  
Vena Cava Syndrome ◽  
The Right
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