Surgical lead extraction for total occlusion of the superior vena cava by chronic lead infection after mustard procedure.
We present a case of total occlusion of the superior vena cava (SVC) with extensive thrombosis of the adjacent large veins secondary to multiple abandoned pacemaker leads with a superimposed chronic lead infection by Corynebacterium jeikeium. A surgical lead extraction was performed with an extensive en-bloc resection of the SVC together with the right subclavian vein and the right innomate vein. No venous reconstruction was required because of an unobstructed runoff via a well-developed azygos system.
Division of Cardiology, Institut Universitaire De Cardiologie Et Pneumologie de Québec (IUCP), Quebec Heart and Lung Institute, Quebec, Canada.
Christian
C
Steinberg
Davide
D
Calvaruso
Jean
J
Guimond
Elisabeth
E
Bédard
Jean
J
Perron
D016121:Brachiocephalic Veins / Q000601:surgery; D002908:Chronic Disease; D003352:Corynebacterium / Q000302:isolation & purification; D003354:Corynebacterium Infections / Q000150:complications* / Q000382:microbiology; D020878:Device Removal / Q000379:methods*; D004567:Electrodes, Implanted / Q000009:adverse effects* / Q000382:microbiology*; D004868:Equipment Failure; D006801:Humans; D008297:Male; D008875:Middle Aged; D010138:Pacemaker, Artificial / Q000009:adverse effects* / Q000382:microbiology*; D013350:Subclavian Vein / Q000601:surgery; D013479:Superior Vena Cava Syndrome / Q000209:etiology* / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000379:methods*; D014683:Vena Cava, Superior / Q000601:surgery*; D054556:Venous Thromboembolism / Q000209:etiology* / Q000601:surgery