title: A case of superior vena cava syndrome caused by a ruptured brachiocephalic artery aneurysm.
abstract: An 84-year-old man was transferred to the emergency department for the treatment of shock. His upper body was swollen. Hematoma from the ruptured brachiocephalic artery aneurysm was compressing and obstructing the superior vena cava (SVC). A stent graft was deployed from the brachiocephalic artery to the right common carotid artery, and the proximal right subclavian artery was coil embolized. On postoperative day 5, when his neck swelling subsided and tracheal stenosis seemed resolved, the patient was extubated and the subsequent recovery was uneventful. He was discharged from the hospital on postoperative day 24. Although the stent grafting does not directly decompress the SVC by removing aneurysm and hematoma, it seems to be the treatment option for the morbid patients.
authors.affiliation: Department of Cardiovascular Surgery, Kameda Medical Center, Chiba, Japan. Electronic address: arken724@yahoo.co.jp.
authors.forename: Kun Tae
authors.initials: KT
authors.lastname: Ahn
authors.affiliation: Department of Cardiovascular Surgery, Chiba-Nishi General Hospital, Chiba, Japan.
authors.forename: Takashi
authors.initials: T
authors.lastname: Murakami
authors.affiliation: Department of Cardiovascular Surgery, Kameda Medical Center, Chiba, Japan.
authors.forename: Mitsuhisa
authors.initials: M
authors.lastname: Kotani
authors.affiliation: Department of Cardiovascular Surgery, Kameda Medical Center, Chiba, Japan.
authors.forename: Yuji
authors.initials: Y
authors.lastname: Kato
authors.affiliation: Department of Cardiovascular Surgery, Kameda Medical Center, Chiba, Japan.
authors.forename: Masaaki
authors.initials: M
authors.lastname: Toyama
mesh_terms: D000369:Aged, 80 and over; D017542:Aneurysm, Ruptured / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D016122:Brachiocephalic Trunk; D006801:Humans; D008297:Male; D015607:Stents; D013479:Superior Vena Cava Syndrome / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D014057:Tomography, X-Ray Computed