Giant dissected aortic aneurysm presenting as a superior vena cava syndrome

A 47-year-old man, with a history of aortic valve replacement 28 years earlier, was admitted to the emergency department with a right cervical mass and a superior vena cava syndrome. Thoracic angio-CT revealed a giant ascending aorta aneurysm, with an intramural thrombus and dissection flap, compressing the superior vena cava. Emergency surgery was performed, confirming those findings. The dissection had ruptured but was contained by surrounding structures, creating a false-aneurysm that compressed the superior vena cava. The aneurysm was excluded and the aorta was replaced by a Dacron conduit, thereby decompressing the upper mediastinum. The patient made an uneventful recovery.

Download Full-text

Thrombogenic Catheter-Associated Superior Vena Cava Syndrome

Case Reports in Emergency Medicine ◽

10.1155/2013/793054 ◽

2013 ◽

Vol 2013 ◽

pp. 1-3 ◽

Cited By ~ 1

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.

Download Full-text

Superior vena cava syndrome caused by epitheloid hemangioma

Vojnosanitetski pregled ◽

10.2298/vsp0505409i ◽

2005 ◽

Vol 62 (5) ◽

pp. 409-412

Author(s):

Radoje Ilic ◽

Zoran Trifunovic ◽

Vladimir Mandaric ◽

Svetislav Tisma

Keyword(s):

Superior Vena Cava ◽

Superior Vena Cava Syndrome ◽

Superior Vena ◽

Median Sternotomy ◽

Vena Cava ◽

Uneventful Recovery ◽

Complete Disappearance ◽

Vena Cava Superior ◽

Vena Cava Syndrome ◽

Symptoms And Signs

Aim. A case is presented of the surgical treatment of epitheloid hemangioma as a rare cause of superior vena cava syndrome. Case report. A 53-year old woman was admitted to the clinic with the symptoms and signs of superior vena cava syndrome. After clinical evaluation and diagnostic tests, she was operated on through median sternotomy, and the desobliteration of the superior vena cava through longitudinal ca votomy was done. After the desobliteration by the removal of benign tumor from its cavity, vena cava was reconstructed with the continuous prolen suture. Pathohistologicaly, there was the evidence of epitheloid hemangioma that made the subtotal obliteration of the vena cava superior by its expansive growing at the entry in the right atrium. Postoperatively, there was a complete disappearance of the symptoms and signs of superior vena cava syndrome. After an uneventful recovery, the patient was discharged from the hospital.

Download Full-text

Endovascular stenting for treatment of superior vena cava syndrome

Journal of Health and Allied Sciences NU ◽

10.1055/s-0040-1703944 ◽

2015 ◽

Vol 05 (04) ◽

pp. 096-098

Author(s):

Subramanyam K. ◽

Janardhan Kamath ◽

Dilip Johny ◽

Paul T. Joyes

Keyword(s):

Superior Vena Cava ◽

Superior Vena Cava Syndrome ◽

Malignant Tumors ◽

Superior Vena ◽

Vena Cava ◽

Signs And Symptoms ◽

Endovascular Stenting ◽

Vena Cava Syndrome ◽

Procedural Success ◽

Upper Mediastinum

AbstractSuperior vena cava syndrome (SVCS) is a well-known manifestation of benign and malignant tumors of the upper mediastinum. Superior vena cava (SVC) obstruction and thrombosis caused by indwelling venous catheters is a growing problem in patients on regular haemodialysis. We present a 62-year-old woman with typical signs and symptoms of SVCS, secondary to thrombosis surrounding the indwelling central catheter who was treated with endovascular stenting by the percutaneous approach. We obtained both procedural success with complete restoration of blood flow and immediate relief of symptoms.

Download Full-text

What lies downstream? A case of superior vena cava syndrome presenting in the dermatology clinic: A case report

SAGE Open Medical Case Reports ◽

10.1177/2050313x20919618 ◽

2020 ◽

Vol 8 ◽

pp. 2050313X2091961

Author(s):

Rochelle Tonkin ◽

Christopher Sladden

Keyword(s):

Superior Vena Cava ◽

Superior Vena Cava Syndrome ◽

Superior Vena ◽

Vena Cava ◽

Dermatology Clinic ◽

Vena Cava Thrombosis ◽

History Of ◽

Vena Cava Syndrome ◽

Facial Edema ◽

Associated Malignancy

A 75-year-old female presented with a 1 year history of a firm, diffusely swollen, and erythematous facial plaque. She had preceding unsuccessful investigations and treatment for angioedema. Full-skin examination revealed multiple prominent varicosities on the chest and abdomen. Superior vena cava syndrome was suspected. Solid facial edema (Morbihan’s syndrome) and various infiltrates included in the differential diagnosis were ruled out with a skin biopsy. Chest computed tomography confirmed a complete superior vena cava thrombosis. Extensive workup for associated malignancy has to date been unremarkable, and as yet an underlying cause remains to be found.

Download Full-text