Balloon dilation of the superior vena cava (SVC) resulting in SVC rupture and pericardial tamponade: a case report and brief review.
Stent placement is an accepted primary treatment for SVC syndrome. Balloon dilation is frequently performed prior to stent placement. Although various stent-related hemorrhagic complications have been reported, as well as reports of iatrogenic catheter and guidewire perforations, there has been only one previous report of balloon dilation-related SVC rupture. We report a second case, including the clinical scenario, in the hope that should this complication occur, it might be recognized quickly and treated successfully.
Brown
Karen T
KT
Department of Radiology, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10021, USA. brown6@mskcc.org
Getrajdman
George I
GI
D000368:Aged; D021721:Balloon Occlusion; D002294:Carcinoma, Squamous Cell / Q000150:complications; D002305:Cardiac Tamponade / Q000209:etiology*; D002404:Catheterization / Q000009:adverse effects*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000150:complications; D010490:Pericardial Effusion / Q000209:etiology; D015641:Radiography, Interventional; D012421:Rupture; D013479:Superior Vena Cava Syndrome / Q000628:therapy; D018084:Ultrasonography, Interventional; D014683:Vena Cava, Superior / Q000293:injuries*