[Life threatening complication after transthoracic esophageal resection].
Acute inflow stasis of the vena cava superior is an emergency case. Because of the rapidly rising venous pressure, life-threatening complications can arise (e.g. cerebral hemorrhage, hemorrhagic venous infarcts). The main cause of central venous thrombosis is bronchial carcinoma (incidence: 3-5%). Iatrogenic reasons are thrombosis caused by pacemaker electrodes, dialysis catheter, central vein catheters, implanted ports and radiation-induced venous fibrosis. In this case a patient with an esophageal carcinoma was pretreated by a neoadjuvant chemoradiotherapy. The chemotherapy was given through a venous access port, which was implanted earlier. Radiation therapy with a total of 60 Gy followed. After the esophagectomy the patient developed an acute inflow stasis of the vena cava superior.
Raffel
A
A
Klinik für Allgemein- und Unfallchirurgie, Heinrich-Heine-Universität Düsseldorf.
Böhner
H
H
Müller
E
E
Gross-Weege
W
W
Röher
H D
HD
D000800:Angioplasty, Balloon; D002294:Carcinoma, Squamous Cell / Q000188:drug therapy / Q000532:radiotherapy / Q000601:surgery*; D002408:Catheters, Indwelling; D004938:Esophageal Neoplasms / Q000188:drug therapy / Q000532:radiotherapy / Q000601:surgery*; D016629:Esophagectomy; D006801:Humans; D008297:Male; D008875:Middle Aged; D020360:Neoadjuvant Therapy; D009364:Neoplasm Recurrence, Local / Q000188:drug therapy / Q000532:radiotherapy / Q000601:surgery; D011183:Postoperative Complications / Q000000981:diagnostic imaging* / Q000628:therapy; D011859:Radiography; D012086:Reoperation; D015607:Stents; D013479:Superior Vena Cava Syndrome / Q000000981:diagnostic imaging* / Q000628:therapy; D013908:Thoracotomy; D015912:Thrombolytic Therapy; D013927:Thrombosis / Q000000981:diagnostic imaging* / Q000628:therapy