Surgical repair of superior vena cava syndrome.
We present the case of a 53-year-old woman with a history of breast cancer, chemotherapy, and a long-term central venous access catheter, who presented with acute, severe superior vena cava syndrome. Angiography showed fibrous obstruction of the superior vena cava with thrombosis of the innominate, both axillary subclavian and internal jugular veins. Surgical repair consisted of thrombectomy of all the involved vessels and patch repair of superior vena cava and innominate vein. The patient had an uneventful recovery and remains asymptomatic 12 months after the procedure.
Calderon
M C
MC
Department of Cardiothoracic Surgery, Hospital Angeles de las Lomas, Mexico City, Mexico. moisesc@infosel.net.mx
Lozano
V M
VM
Jaquez
A
A
Villaseñor
C
C
D000792:Angiography / Q000379:methods; D000970:Antineoplastic Agents / Q000008:administration & dosage; D001943:Breast Neoplasms / Q000175:diagnosis / Q000188:drug therapy; D002405:Catheterization, Central Venous / Q000009:adverse effects / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D013479:Superior Vena Cava Syndrome / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D017131:Thrombectomy / Q000379:methods; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler; D014656:Vascular Surgical Procedures / Q000379:methods
D000970:Antineoplastic Agents