Superior Vena Cava Syndrome After Cardiac Surgery: Early Treatment by Percutaneous Stenting

García-Delgado, Manuel; Navarrete-Sánchez, I.; Colmenero, Manuel; Lara-Torrano, Juan; Moyano-Calvente, Sergio; García-Entrena, A.; Rodrı́guez-Elvira, Manuel

doi:10.1053/j.jvca.2006.05.006

Cited by 7 publications

(5 citation statements)

References 6 publications

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“…The management of those cases is thrombolysis, balloon dilation, and surgical evacuation, which have good outcomes. [4][5][6] However, as in our case, the cause of SVCS was due to pericardial hematoma. Intrapericardial hematoma or thrombus with sufficient size may result in compression of the surrounding cardiac chambers or vessels.…”

Section: Discussionmentioning

confidence: 43%

Superior Vena Cava Syndrome due to pericardial hematoma: A case report and mini-review of literature

Saboe

Pramanda

Hasan

et al. 2021

SAGE Open Medical Case Reports

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Superior vena cava syndrome is a life-threatening condition. Typically, the clinical presentations are gradual; hence, the diagnosis is often delayed until critical compression or obstruction has occurred. Pericardial hematoma is a rare condition that could occur after cardiac surgery. An asymptomatic, 25-year-old female, who underwent surgical atrial septal defect closure 5 days ago, was sent for routine echocardiography examination before discharge. An intrapericardiac hematoma was detected at the right atrium’s free wall without any intracardiac hemodynamic consequences. The patient was discharged and planned for monthly evaluation. During follow-up, the intrapericardiac hematoma was expanding. In the third month’s follow-up, the patient complained of shortness of breath, headaches, and coughs. Echocardiography evaluation revealed enlarged pericardial hematoma, which compressed the right atrium and superior vena cava orifice, without echo’ sign of cardiac tamponade. Computed tomography scan revealed superior vena cava compression by the pericardial hematoma and appearance of the collateral vessel. The patient was diagnosed with superior vena cava syndrome and sent for surgical evacuation. Pericardial hematoma after cardiac surgery should be evaluated meticulously. Chronic expanding hematoma could cause superior vena cava syndrome, which is fatal. Early diagnosis and appropriate treatment are essential in managing this condition.

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Section: Discussionmentioning

confidence: 43%

Superior Vena Cava Syndrome due to pericardial hematoma: A case report and mini-review of literature

Saboe

Pramanda

Hasan

et al. 2021

SAGE Open Medical Case Reports

View full text Add to dashboard Cite

show abstract

“…SVC syndrome is frequently diagnosed through the presence of clinical symptoms as well as the use of imaging modalities. Computerized tomography of the chest after administration of contrast, positron-emission tomography, and transesophageal echocardiography have all been found to be useful in diagnosing SVC syndrome [ 6 , 10 , 11 ].…”

Section: Discussionmentioning

confidence: 99%

“…These most often occur secondary to thrombosis associated with an intravascular device, catheter, or pacemaker wire [ 4 , 5 ]. Perioperative cases have been documented resulting from laceration of the SVC vessel during surgery [ 10 ]. However, perioperative SVC syndrome has rarely been discussed due to stenosis secondary to closure of a venous cardiopulmonary bypass cannula.…”

Section: Discussionmentioning

confidence: 99%

Iatrogenic Superior Vena Cava Syndrome after Cardiopulmonary Bypass Diagnosed by Intraoperative Echocardiography

Ellison

Statler

Henrickson

et al. 2020

Case Reports in Anesthesiology

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A 73-year-old female patient presented for mitral valve replacement and coronary artery bypass grafting secondary to multivessel coronary disease and severe mitral valve regurgitation with moderate stenosis. After bypass, the patient developed refractory hypotension with decreased biventricular volume and elevated central venous pressure (CVP). Transesophageal echocardiography (TEE) was utilized to make the diagnosis of acute intraoperative superior vena cava (SVC) syndrome. The SVC cannulation site was revised, resulting in resolution of the hypotension and a decrease in the CVP. Intraoperative TEE was vital in recognizing, managing, and ultimately repairing the acute intraoperative SVC stenosis.

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“…2,3 In a report of two cardiac surgery patients with postoperative SVC syndrome and early stenting, the obstructions were related to repairs of lacerations during cannulation of the SVC. 4 The only earlier reported series of SVC syndrome and stenting in adult patients after heart transplantation involved three patients who underwent both thrombolysis and stenting, but only after POD 8 or later. 5 Facial swelling, combined with systemic hypotension, lactic acidosis, and oliguria, is a strong indication for obstruction of the SVC.…”

Section: Discussionmentioning

confidence: 99%

Immediate Postoperative Percutaneous Stenting of Superior Vena Cava Obstruction Following Heart Transplantation in Adult Patients with Pacemaker Leads

et al. 2014

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Vena cava superior syndrome is a serious complication after heart transplantation, leading to low cardiac output, cerebral edema, and multi-organ dysfunction. We report three adult patients who underwent heart and heart-lung transplantation and required immediate postoperative balloon angioplasty and stent placement by interventional radiology. The observed obstructions were located at sites of intraoperatively removed pacemaker or defibrillator wires. Percutaneous stent placement immediately improved the hemodynamic condition of the patients. Early recognition of the complication and availability of immediate intervention are essential to prevent further deterioration.

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Superior Vena Cava Syndrome After Cardiac Surgery: Early Treatment by Percutaneous Stenting

Cited by 7 publications

References 6 publications

Superior Vena Cava Syndrome due to pericardial hematoma: A case report and mini-review of literature

Superior Vena Cava Syndrome due to pericardial hematoma: A case report and mini-review of literature

Iatrogenic Superior Vena Cava Syndrome after Cardiopulmonary Bypass Diagnosed by Intraoperative Echocardiography

Immediate Postoperative Percutaneous Stenting of Superior Vena Cava Obstruction Following Heart Transplantation in Adult Patients with Pacemaker Leads

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