[Vena cava superior syndrome in total parenteral nutrition. Vena cava superior thrombosis caused by a central venous catheter].
Two patients developed superior vena cava syndrome following total parenteral nutrition through a central venous catheter. Infection may have contributed to the development of the superior vena cava thromboses. In one patient a "sleeve thrombus" probably caused multiple pulmonary embolisms after the catheter was withdrawn. The other patient had a mural thrombosis with complete occlusion of the superior vena cava. The author emphasizes the importance of early diagnosis and correct treatment in order to reduce the high mortality rate due to this serious complication to central venous catheters.
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Kirurgisk avdeling, Buskerud sentralsykehus, Drammen.
D002405:Catheterization, Central Venous / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010289:Parenteral Nutrition, Total / Q000009:adverse effects*; D011512:Proteus Infections / Q000150:complications; D011514:Proteus vulgaris / Q000302:isolation & purification; D013203:Staphylococcal Infections / Q000150:complications; D013479:Superior Vena Cava Syndrome / Q000209:etiology*; D013927:Thrombosis / Q000209:etiology
Vena cava superior-syndrom ved total parenteral ernaering. Trombose av vena cava superior ved sentralt venekateter.