Surgical Treatment of Benign Superior Vena Cava Syndrome

Gallo, Michele; Protos, Adam N.; Trivedi, Jaimin R.; Slaughter, Mark S.

doi:10.1016/j.athoracsur.2016.03.112

Cited by 7 publications

(6 citation statements)

References 7 publications

(13 reference statements)

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“…However, in some cases SVC thrombolysis and later dilatation and stent placement is associated with a risk of substantial hemorrhage in 10-15 % of the procedures. If we run out of all available less invasive treatment options and conservation, especially in benign causes [11]. Surgical bypass remains the resort of choice.…”

Section: Resultsmentioning

confidence: 99%

Superior Vena Cava Obstruction Secondary to Prolonged Calcium Therapy: A Benign Etiology, Managed by Vein Graft Bypass Surgery

Cheema¹,

Aqeel²,

Khan³

et al. 2020

SCR

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We like to report this case of a 28-year-old lady, who had celiac disease and developed complete Superior Vena Cava Obstruction secondary to prolonged corrective calcium therapy for refractory Hypocalcemia through the central venous line. Usually Superior Vena Cava Syndrome (SVCS) due to Superior Vena Cava obstruction (SVCO) has infective and malignant etiologies. Our case is a rare and benign cause, managed surgically after failed endovascular recanalization by the interventional radiologist.

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Section: Resultsmentioning

confidence: 99%

Superior Vena Cava Obstruction Secondary to Prolonged Calcium Therapy: A Benign Etiology, Managed by Vein Graft Bypass Surgery

Cheema¹,

Aqeel²,

Khan³

et al. 2020

SCR

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“…Traditionally, SVC syndrome was treated with open surgical repair through bypass grafting with femoral vein, spiral saphenous vein, dacron graft, or polytetrafluoroethylene graft [ 16 ]. However, now it is mainly managed by treating the underlying etiology.…”

Section: Discussionmentioning

confidence: 99%

Superior Vena Cava Syndrome Due to Thrombosis: A Case Report

Haider¹,

Master²,

Atluri³

et al. 2022

Cureus

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Superior vena cava (SVC) syndrome is a clinical entity with signs and symptoms resulting from obstruction of blood flow through the SVC. The resulting obstruction leads to edema in the upper body, including the head, neck, and upper extremities. Clinical signs and symptoms can include plethora, cyanosis, dyspnea, stridor, cough, and hoarseness, as well as more serious complications such as cerebral edema leading to headache, confusion, and coma. Here, we present an interesting case of a 66-year-old female, with a medical history of esophageal cancer in remission and thyroid cancer currently undergoing radiation therapy, who was admitted for facial and upper extremity swelling. The initial impression was of angioedema or an allergic reaction. Imaging studies showed thrombus in the SVC resulting in SVC syndrome. The patient was treated with heparin initially, with a plan for an interventional radiologist to perform catheter-guided thrombolysis. However, the patient became unstable and ended up requiring mechanical ventilation. The patient was eventually discharged on oral anticoagulants. This case was rare as the patient developed SVC syndrome from venous thrombosis in the absence of any external tumor compression or as a result of an intravascular catheter.

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“…1 , 2 Occasionally bypass surgery is performed. 13 Other nonspecific methods include head elevation, mild diuresis and corticosteroids to decrease swelling and dyspnea. When thrombosis is the cause of SVC syndrome, thrombolysis 1 and/or anticoagulation 1 , 2 , 3 , 4 , 5 may be indicated.…”

Section: Discussionmentioning

confidence: 99%