title: Superior vena cava syndrome and syncope in an implantable cardioverter defibrillator recipient.
abstract: We describe the case of a recipient of an implantable cardioverter defibrillator with multiple syncopal episodes due both to superior vena cava obstruction and electrical instability. These complications occurred in the presence of two transvenous implantable cardioverter defibrillator leads. The patient has been managed conservatively with anticoagulants and new antiarrhythmic drugs with improvement in both his clinical problems.
authors.affiliation: Second Department of Cardiology, Onassis Cardiac Surgery Center, 356 Syngrou Avenue, 17674 Athens, Greece. elbee@ath.forthnet.gr, annapana@internet.gr
authors.forename: Anna
authors.initials: A
authors.lastname: Kostopoulou
authors.forename: Eftihia
authors.initials: E
authors.lastname: Sbarouni
authors.forename: Efthimios G
authors.initials: EG
authors.lastname: Livanis
authors.forename: George N
authors.initials: GN
authors.lastname: Theodorakis
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Kremastinos
mesh_terms: D017147:Defibrillators, Implantable / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013479:Superior Vena Cava Syndrome / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D013575:Syncope / Q000209:etiology* / Q000628:therapy; D017180:Tachycardia, Ventricular / Q000150:complications / Q000628:therapy; D014693:Ventricular Fibrillation / Q000150:complications / Q000628:therapy