A Conservative Approach to a Large Mycotic Pulmonary Pseudoaneurysm

Pulmonary mycotic pseudoaneurysm is a rare complication of bacteremia with high associated mortality. We present a case of a large proximal pulmonary artery pseudoaneurysm as a result of methicillin-sensitive Staphylococcus aureus bacteremia, originating from a tunneled dialysis catheter infection. This case was ultimately managed conservatively with surveillance imaging and a prolonged intravenous antibiotic course, rather than with surgical or interventional management. To our knowledge, this is the first reported case of a mycotic pulmonary pseudoaneurysm due to septic embolization of an infected superior vena cava thrombus.

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A Right Common Iliac Artery Pseudoaneurysm with an Iliac-Caval Arteriovenous Fistula: A Rare Complication of the Recovery Vena Cava Filter

CardioVascular and Interventional Radiology ◽

10.1007/s00270-009-9705-5 ◽

2009 ◽

Vol 33 (3) ◽

pp. 667-669 ◽

Cited By ~ 7

Author(s):

Sergio Savastano ◽

Beghetto Mario ◽

Jacopo Dall’Acqua ◽

Giuseppe Mansi

Keyword(s):

Arteriovenous Fistula ◽

Iliac Artery ◽

Common Iliac Artery ◽

Rare Complication ◽

Vena Cava ◽

Vena Cava Filter ◽

Artery Pseudoaneurysm ◽

Iliac Artery Pseudoaneurysm

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Downhill oesophageal variceal bleeding: A rare complication in Behçet’s disease-related superior vena cava syndrome

Arab Journal of Gastroenterology ◽

10.1016/j.ajg.2015.02.003 ◽

2015 ◽

Vol 16 (1) ◽

pp. 36-38 ◽

Cited By ~ 2

Author(s):

Rym Ennaifer ◽

Saloua B’chir Hamzaoui ◽

Thara Larbi ◽

Hayfa Romdhane ◽

Maya Abdallah ◽

...

Keyword(s):

Superior Vena Cava ◽

Variceal Bleeding ◽

Behcet’S Disease ◽

Superior Vena Cava Syndrome ◽

Behçet's Disease ◽

Rare Complication ◽

Superior Vena ◽

Vena Cava ◽

Behcet's Disease ◽

Vena Cava Syndrome

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MRSA Ascending Aorta Mycotic Pseudoaneurysm in a Post-Lung Transplant Recipient Presenting as Superior Vena Cava Syndrome

CHEST Journal ◽

10.1378/chest.1702833 ◽

2013 ◽

Vol 144 (4) ◽

pp. 318A

Author(s):

Laneshia Thomas ◽

Erin Lowery

Keyword(s):

Transplant Recipient ◽

Superior Vena Cava ◽

Lung Transplant ◽

Superior Vena Cava Syndrome ◽

Superior Vena ◽

Vena Cava ◽

Ascending Aorta ◽

Lung Transplant Recipient ◽

Mycotic Pseudoaneurysm ◽

Vena Cava Syndrome

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Unusual collateral vessel from right subclavian vein to left atrium, a rare complication of superior vena cava obstruction

Echocardiography ◽

10.1111/echo.14038 ◽

2018 ◽

Vol 35 (8) ◽

pp. 1233-1236

Author(s):

Mozhgan Parsaee ◽

Hamidreza Pouraliakbar ◽

Behshid Ghadrdoost ◽

Jamal Moosavi ◽

Mohaddeseh Behjati

Keyword(s):

Left Atrium ◽

Superior Vena Cava ◽

Subclavian Vein ◽

Rare Complication ◽

Superior Vena ◽

Vena Cava ◽

Superior Vena Cava Obstruction ◽

Collateral Vessel

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SUPERIOR VENA CAVA SYNDROME: A RARE COMPLICATION OF AORTIC VALVE AND AORTIC ROOT REPLACEMENT

Journal of the American College of Cardiology ◽

10.1016/s0735-1097(19)32985-7 ◽

2019 ◽

Vol 73 (9) ◽

pp. 2379

Author(s):

Bao X. Nguyen ◽

J. Patrik Hornak ◽

Nicole A. Christians ◽

Jianping Zhao ◽

Judith F. Aronson ◽

...

Keyword(s):

Aortic Valve ◽

Superior Vena Cava ◽

Aortic Root ◽

Superior Vena Cava Syndrome ◽

Rare Complication ◽

Superior Vena ◽

Vena Cava ◽

Aortic Root Replacement ◽

Vena Cava Syndrome

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A Rare Complication of the Pulmonary Arterial Catheterization: Migration of the Catheter in Venous Cannula Within Superior Vena Cava

Journal of Cardio-Vascular-Thoracic Anaesthesia and Intensive Care Society ◽

10.5222/gkdad.2012.076 ◽

2013 ◽

Vol 18 (3) ◽

pp. 76-78

Author(s):

Murat Aksun ◽

Senem Girgin ◽

Ufuk Yetkin ◽

Tayfun Goktogan ◽

Ali Gurbuz ◽

...

Keyword(s):

Superior Vena Cava ◽

Rare Complication ◽

Superior Vena ◽

Vena Cava ◽

Arterial Catheterization ◽

Venous Cannula ◽

Pulmonary Arterial

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A rare complication of hemodialysis catheters: Superior vena cava syndrome

Hemodialysis International ◽

10.1111/j.1542-4758.2007.00205.x ◽

2007 ◽

Vol 11 (4) ◽

pp. 385-391 ◽

Cited By ~ 14

Author(s):

Hadim AKOGLU ◽

Rahmi YILMAZ ◽

Bora PEYNIRCIOGLU ◽

Mustafa ARICI ◽

Alper KIRKPANTUR ◽

...

Keyword(s):

Superior Vena Cava ◽

Superior Vena Cava Syndrome ◽

Rare Complication ◽

Superior Vena ◽

Vena Cava ◽

Vena Cava Syndrome

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Peripherally Inserted Central Catheter-Induced Right Atrium Thrombosis and Superior Vena Cava Dissection

Journal of the Association for Vascular Access ◽

10.1016/j.java.2016.09.001 ◽

2017 ◽

Vol 22 (1) ◽

pp. 20-21

Author(s):

Priyank Shah ◽

Rahul Vasudev ◽

Raja Pullatt ◽

Fayez Shamoon

Keyword(s):

Pulmonary Embolism ◽

Superior Vena Cava ◽

Rare Complication ◽

Superior Vena ◽

Vena Cava ◽

Venous Access ◽

Right Atrial ◽

Peripherally Inserted Central Catheter ◽

Central Catheter ◽

Picc Line

Abstract A 42-year-old woman with past medical history of intravenous drug abuse was admitted to hospital with fever and heart murmur. A peripherally inserted central catheter (PICC) was inserted because the patient had poor venous access. Transesophageal echocardiography was done to rule out infective endocarditis. The test showed thrombus attached to the PICC line. Thrombus arising from a catheter is known complication of PICCs. Classifications of right heart thromboembolism (RHTE) are based on morphology. Type A thrombi are highly mobile and may prolapse through the tricuspid valve. Conversely, type B thrombi are attached to the right atrial or ventricular wall and may originate in association with foreign bodies or in structurally abnormal chambers. RHTEs are associated with pulmonary embolism in approximately 4%–6% of cases and increase the 3-month mortality rate from 16% to 29%. On echocardiography, partial dissection of the superior vena cava (SVC) was also noted. This is a very rare complication of PICC. To the best of our knowledge this is the first reported case of PICC-induced thrombosis with partial dissection of SVC. The PICC line was removed and echocardiography postremoval did not show any thrombus. The patient remained asymptomatic without any signs of hemodynamically significant pulmonary embolism. SVC dissection was also managed conservatively. Use of central venous catheters in clinical practice is increasing but it is not a benign procedure. It may be associated with serious complications.

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

Journal of Endovascular Therapy ◽

10.1177/152660280200900520 ◽

2002 ◽

Vol 9 (5) ◽

pp. 680-684 ◽

Cited By ~ 16

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.

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