Open surgery repair for superior vena cava syndrome after failed endovascular stenting.
Thrombosis is a rare cause of superior vena cava (SVC) syndrome. We report a 37-year-old man hospitalized because of swelling of the face and neck. A computed tomography angiography showed a thrombotic obstruction of SVC. The patient was treated by percutaneous transluminal balloon angioplasty of the SVC and placement of a stent. The symptoms disappeared, but the patient was hospitalized again after 3 months for the same complaints. Computed tomography angiography showed thrombosis in the stent in the SVC. The SVC was replaced with a prosthetic blood vessel. The patient's postoperative recovery was uneventful, and SVC syndrome did not occur during 2 years of postoperative follow-up.
Department of Cardiovascular Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Huadong
H
Li
Department of Cardiovascular Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Xionggang
X
Jiang
Department of Cardiovascular Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. Electronic address: suntucheng@126.com.
Tucheng
T
Sun
D000328:Adult; D057510:Endovascular Procedures; D006801:Humans; D008297:Male; D015607:Stents; D013479:Superior Vena Cava Syndrome / Q000601:surgery*; D017211:Treatment Failure; D014656:Vascular Surgical Procedures / Q000379:methods