Treatment of SVC syndrome and hemoptysis in a patient with mediastinal fibrosis.
Mediastinal fibrosis can present with a multitude of symptoms, most commonly cough, dyspnea and hemoptysis. We describe a case of mediastinal fibrosis secondary to histoplasmosis, which presented with both superior vena cava syndrome (SVCS) and hemoptysis. Our patient was successfully treated with bronchial artery embolization followed by SVC stent placement during a brief hospital stay.
Thomas
Bradley P
BP
Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, R-1318 MCN, Nashville, TN 37232, USA. Bradley.thomas@vanderbilt.edu
Bream
Peter R
PR
Milstone
Aaron P
AP
Meranze
Steven G
SG
D000792:Angiography; D002908:Chronic Disease; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D004621:Embolization, Therapeutic; D005260:Female; D005355:Fibrosis; D006469:Hemoptysis / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D006660:Histoplasmosis / Q000150:complications; D006801:Humans; D008477:Mediastinal Diseases / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D008875:Middle Aged; D015607:Stents; D013479:Superior Vena Cava Syndrome / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*