TY - JOUR
T1 - Superior vena cava syndrome
T2 - An increasingly frequent complication of cardiac procedures
AU - Chee, Cheng E.
AU - Bjarnason, Haraldur
AU - Prasad, Abhiram
PY - 2007/4
Y1 - 2007/4
N2 - 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.
AB - 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.
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U2 - 10.1038/ncpcardio0850
DO - 10.1038/ncpcardio0850
M3 - Review article
C2 - 17380168
AN - SCOPUS:33947693275
SN - 1743-4297
VL - 4
SP - 226
EP - 230
JO - Nature Clinical Practice Cardiovascular Medicine
JF - Nature Clinical Practice Cardiovascular Medicine
IS - 4
ER -