Thrombectomy and SVC reconstruction due to infective thrombus.
We report a case of thrombectomy and reconstruction of superior vena cava (SVC) in a patient presenting sepsis and SVC syndrome by infective thrombus. A 58-year-old woman presented sepsis and edema of the neck and left upper extremity during treatment of multiple organ failure. Sepsis by Serratia persisted in spite of appropriate antibiotic treatment. Computed tomography of the chest revealed thrombi that narrowed the SVC with obstruction of the left brachiocephalic vein. Removal of the infective thrombi followed by SVC reconstruction with autologous pericardial patch was performed. Postoperative period remained uneventful.
Uwabe
K
K
Department of Cardiovascular Surgery and Cardiology, Hokuto Hospital, Obihiro, Japan.
Kurihara
H
H
Komiyama
S
S
Yoshida
I
I
D005260:Female; D006801:Humans; D008875:Middle Aged; D011859:Radiography; D019651:Plastic Surgery Procedures; D018805:Sepsis / Q000150:complications* / Q000000981:diagnostic imaging; D013479:Superior Vena Cava Syndrome / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D017131:Thrombectomy; D014683:Vena Cava, Superior / Q000000981:diagnostic imaging / Q000601:surgery*