Currently, svc syndrome is generally due to cancer or thrombotic events. Lung cancer is the most common cause of superior vena cava syndrome svcs and requires timely recognition and management. Vena cava superior izquierda persistente sciencedirect. An intrathoracic malignancy is responsible for 60 to 85 percent of cases of superior vena cava syndrome svc syndrome, and.
We report here in a case of svc syndrome due to lymph node metastasis from urothelial cancer to the mediastinum and lung. We report a case of a patient with symptomatic benign superior vena cava syndrome treated by the endovascular technique. Retrospective series of 5 cases treated between april 1, 1995 to march 31, 20. The syndrome is rarely an oncologic emergency in the absence of tracheal compression and airway compromise. The severity of the signs and symptoms presented depends on the anatomical level and. Haddad, md1 stenosis or occlusion of central veins in hemodialysis patients is common, especially with previous intravascular catheter or device use. Superior vena cava svc obstruction is emerging as a frequent chronic. Superior cava vein syndrome of the superior cava vein stent. Superior vena cava syndrome svcs refers to the clinical syndrome with symptoms that results from this obstruction.
Superior vena cava syndrome svcs, is a group of symptoms caused by obstruction of the superior vena cava svc, a short, wide vessel carrying circulating blood into the heart. Treatment depends on the etiology of the obstructive process. Bilyeu, md approximately 15,000 cases of superior vena cava svc obstruction are diagnosed in the united states annually. Abstract we studied a 57 yearold patient of black complexion, with swelling of the lower. Pdf superior vena cava syndrome is a devastating complication of obs tructive lesions compromising the superior vena cava an its branches. Malignancies primarily lung cancer are the underlying cause of 8085% of cases, leaving 1520% caused by various benign conditions, including sclerosing. Teo n, sabharwal t, rowland e, curry p, adam a treatment of superior vena cava obstruction secondary to pacemaker wires with balloon venoplasty and. Superior vena cava syndrome svcs is mechanical obstruction of the superior vena cava svc due to venous thrombi or extrinsic compression by intrathoracic tumours in most cases. Inferior vena cava thrombosis, case contributed by dr sajoscha sorrentino.
The origin of metastasis was determined by computed tomography ctguided biopsy of metastases. The angiographic resonance before angioplasty showed extensive thrombosis of the left brachiocephalic trunk, left subclavian vein and superior vena cava obstruction close to the right brachiocephalic trunk. Superior vena cava svc obstruction can occur from extrinsic compression, intrinsic stenosis, or thrombosis. The syndrome was originally described as being secondary to an infection, such as tuberculosis, or a syphilitic aortic aneurysm 24. Lauten a, strauch j, jung c, goebel b, krizanic f, baer fm. Dialysis catheterinduced superior vena cava syndrome and downhill esophageal varices.
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