Superior vena cava syndrome: An increasingly frequent complication of cardiac procedures

Cheng E. Chee, Haraldur Bjarnason, Abhiram Prasad

Research output: Contribution to journalReview article

25 Scopus citations

Abstract

Background: A 29-year-old woman presented with chest pressure, progressive dyspnea, fatigue, and swelling of her face, neck and upper extremities. Four days earlier, she had undergone a procedure for treatment of inappropriate sinus tachycardia, during which atrioventricular node ablation and implantation of a single-lead VVI pacemaker had been performed following an unsuccessful attempt at sinus node modification. Investigations: Physical examination, contrast-enhanced CT of the chest, Doppler ultrasonography of the upper extremities, venography, coagulation studies, echocardiography. Diagnosis: Superior vena cava syndrome due to thrombotic obstruction - a complication of a cardiac procedure. Management: Anticoagulation, catheter-directed thrombolytic therapy, mechanical thrombectomy, pericardiocentesis.

Original languageEnglish (US)
Pages (from-to)226-230
Number of pages5
JournalNature Clinical Practice Cardiovascular Medicine
Volume4
Issue number4
DOIs
StatePublished - Apr 1 2007

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ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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