Successful emergency endovascular treatment for superior vena cava injury.
Superior vena cava (SVC) hemorrhage due to iatrogenic injury is an infrequent but important event. We report the case of a 56-year-old woman with a history of right pneumonectomy for lung cancer with iatrogenic SVC injury and hemorrhage. After unsuccessful attempts at suture repair of the defect, an endovascular approach using a stent graft succeeded in controlling hemorrhage while maintaining vessel patency. To our knowledge, this is the third report of SVC hemorrhage control using this technique, and it supports the experience of other authors that endovascular stenting is an effective means of treating emergent venous hemorrhage.
Anaya-Ayala
Javier E
JE
Department of Cardiovascular Surgery, The Methodist Hospital, Houston, TX. ekpeden@tmhs.org
Charlton-Ouw
Kristofer M
KM
Kaiser
Christy L
CL
Peden
Eric K
EK
D000800:Angioplasty, Balloon; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D001983:Bronchial Fistula / Q000209:etiology / Q000601:surgery; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D017809:Fatal Outcome; D005260:Female; D006470:Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006491:Hemothorax / Q000209:etiology / Q000601:surgery; D006801:Humans; D007049:Iatrogenic Disease; D008175:Lung Neoplasms / Q000601:surgery; D008875:Middle Aged; D010690:Phlebography; D011013:Pneumonectomy / Q000009:adverse effects; D015607:Stents; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000009:adverse effects*; D014683:Vena Cava, Superior / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*