title: [Idiopathic thrombosis of the superior vena cava (author's transl)].
abstract: In contrast to secondary occlusion idiopathic thrombosis of the superior vena cava occurs rarely. With a good collateral flow through anatomically preformed venous channels the clinical picture may have an insidious course obscuring diagnosis. Collateral circulation via upper oesophageal varices is commonly overlooked. Anticoagulants should be given to prevent progression. Surgically vein transplants, by-pass operations, and thrombectomy have been tried. Follow-up in 4 patients shows that even without surgical intervention the prognosis is good despite the danger of haemorrhage from the varices.
mesh_terms: D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D003097:Collateral Circulation; D004932:Esophageal and Gastric Varices / Q000209:etiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D013924:Thrombophlebitis / Q000150:complications / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D014680:Veins / Q000637:transplantation; D014683:Vena Cava, Superior
chemical_list: D000925:Anticoagulants
vernacular_title: Idiopathische Thrombose der oberen Hohlvene