title: Severe superior vena cava syndrome after transvenous pacemaker implantation.
abstract: Superior vena cava syndrome is a rare complication after pacemaker implantation. The present report outlines how underestimation of clinically relevant symptoms of superior vena cava syndrome early after pacemaker implantation may result in severe complication with the need for major surgical intervention. Superior vena cava syndrome should be diagnosed early because immediate thrombolytic therapy is effective in the majority of patients and avoids the requirement for interventional or surgical efforts.
authors.affiliation: Department of Cardiovascular Surgery, German Heart Center Munich, Technical University of Munich, Munich, Germany.
authors.forename: Hendrik
authors.initials: H
authors.lastname: Ruge
authors.forename: Stephen M
authors.initials: SM
authors.lastname: Wildhirt
authors.forename: Michael
authors.initials: M
authors.lastname: Poerner
authors.forename: Norbert
authors.initials: N
authors.lastname: Mayr
authors.forename: Robert
authors.initials: R
authors.lastname: Bauernschmitt
authors.forename: Stefan
authors.initials: S
authors.lastname: Martinoff
authors.forename: Ruediger
authors.initials: R
authors.lastname: Lange
mesh_terms: D001919:Bradycardia / Q000628:therapy; D002304:Cardiac Pacing, Artificial / Q000009:adverse effects*; D002404:Catheterization / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008875:Middle Aged; D010138:Pacemaker, Artificial / Q000009:adverse effects; D013350:Subclavian Vein; D013479:Superior Vena Cava Syndrome / Q000209:etiology* / Q000601:surgery; D020246:Venous Thrombosis / Q000209:etiology*