title: Surgical management of superior vena cava syndrome after failed endovascular stenting.
abstract: The superior vena cava syndrome encompasses a constellation of symptoms and signs resulting from obstruction of the superior vena cava. We report a successful surgical management after failed endovascular stenting for superior vena cava syndrome, caused by a postradiation fibrosis after conventional radiotherapy for breast cancer. We emphasize the rarity of this uncommon surgical procedure and the bailout procedure for failed angioplasty and intravascular stenting. Key points of superior vena cava syndrome and its management are discussed.
authors: Department of Cardiothoracic Surgery, St. Antonius Hospital, Nieuwegein, Netherlands. janderaet@hotmail.com
authors: Jan M
authors: JM
authors: De Raet
authors: Jan A
authors: JA
authors: Vos
authors: Wim J
authors: WJ
authors: Morshuis
authors: Wim-Jan P
authors: WJ
authors: van Boven
mesh_terms: D000368:Aged; D000800:Angioplasty, Balloon / Q000295:instrumentation*; D019917:Blood Vessel Prosthesis Implantation; D001943:Breast Neoplasms / Q000532:radiotherapy*; D005260:Female; D006801:Humans; D010690:Phlebography / Q000379:methods; D011832:Radiation Injuries / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery / Q000628:therapy*; D011878:Radiotherapy / Q000009:adverse effects; D015607:Stents; D013479:Superior Vena Cava Syndrome / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery / Q000628:therapy*; D014057:Tomography, X-Ray Computed; D017211:Treatment Failure