title: Two is company, three is a crowd.
abstract: The use of pacemakers and central venous catheters (CVC) has become commonplace in the field of medicine. In the past, superior vena cava (SVC) syndrome was almost always associated with malignant occlusion of the SVC. However, with the increased use of pacemakers and implantable cardioverter-defibrillators (ICDs) almost 30% of all cases are related to the use of intravascular devices today. We present a case of SVC syndrome in a young patient with prior permanent pacemaker implantation who underwent CVC placement prior to surgery for hypertrophic cardiomyopathy.
authors.affiliation: Division of Cardiovascular Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.
authors.forename: Prabhat
authors.initials: P
authors.lastname: Hebbar
authors.forename: Abhishek
authors.initials: A
authors.lastname: Deshmukh
authors.forename: Sadip
authors.initials: S
authors.lastname: Pant
authors.forename: Hakan
authors.initials: H
authors.lastname: Paydak
mesh_terms: D000328:Adult; D017130:Angioplasty; D002304:Cardiac Pacing, Artificial / Q000009:adverse effects*; D002312:Cardiomyopathy, Hypertrophic / Q000601:surgery / Q000628:therapy*; D002405:Catheterization, Central Venous / Q000009:adverse effects* / Q000295:instrumentation; D002408:Catheters, Indwelling / Q000009:adverse effects*; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D010690:Phlebography; D013479:Superior Vena Cava Syndrome / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D016896:Treatment Outcome; D014683:Vena Cava, Superior / Q000000981:diagnostic imaging