Superior vena cava syndrome complicating transvenous cardiac pacing. An occult cause for repeated A-V fistula failure.
Four attempts to construct an arteriovenous fistula in the arms of a patient with chronic uremia resulted in occlusion of the fistulae. This was caused by superior vena cava syndrome which, in turn, was a late complication of transvenous pacing. A fistula was subsequently successfully constructed in a lower extremity.
D000368:Aged; D001166:Arteriovenous Shunt, Surgical; D002304:Cardiac Pacing, Artificial / Q000009:adverse effects*; D006801:Humans; D008297:Male; D014511:Uremia / Q000628:therapy; D014652:Vascular Diseases / Q000209:etiology; D014683:Vena Cava, Superior