4,527 results match your criteria Superior Vena Cava Syndrome


Iatrogenic superior vena cava syndrome with concomitant deep vein thrombosis of azygos and hemiazygos veins.

Radiol Case Rep 2021 Jul 26;16(7):1895-1898. Epub 2021 May 26.

Department of Radiology, Ospedale del Mare, ASL NA1 Centro, 80147, Napoli, Italy.

Iatrogenic superior vena cava syndrome (SVCs) represents an emergent diagnostic entity and its correlation with deep vein thrombosis is extremely rare. Recently, the increased use of indwelling lines, pacemakers and intracardiac devices has led to more cases of SVC syndrome also associated with a higher frequency of DVT. We report an unusual complication in a 74-year-old female, who has been undergoing hemodialysis via CVC for 14 years, who referred at our Emergency Department complaining of shortness of breath, headache, face and neck swelling. Read More

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Cardiac Tamponade Complicating Extracorporeal Membrane Oxygenation: A Single-Centre Experience.

Heart Lung Circ 2021 May 31. Epub 2021 May 31.

Department of Emergency and Intensive Care Medicine, São João University Hospital Centre, Porto, Portugal; Department of Medicine, Faculty of Medicine, University of Porto, Porto, Portugal.

Background: Cardiac tamponade is a potential complication during extracorporeal membrane oxygenation (ECMO).

Method: This study assessed the incidence, clinical presentation, therapeutic approach, and outcome of cardiac tamponade at a single ECMO centre during a 10-year period.

Results: Cardiac tamponade occurred in 11 adults (seven men; age 53 years [range, 48-60]) of 566 patients (1. Read More

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Coronary sinus atrial septal defects in adults over the past 20 years at new Tokyo hospital: case series.

J Cardiothorac Surg 2021 May 29;16(1):150. Epub 2021 May 29.

New Tokyo Hospital, 1271 Wanagaya, Matsudo, Chiba, 270-2232, Japan.

Background: An isolated coronary sinus (CS) atrial septal defect (ASD) is defined as a CS unroofed in the terminal portion without a persistent left superior vena cava or other anomalies. This defect is rare and part of the wide spectrum of unroofed CS syndrome (URCS). Recently, several reports have described this finding. Read More

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Vascular homografts as bypass grafts for superior vena cava syndrome due to idiopathic fibrosing mediastinitis.

J Vasc Surg Cases Innov Tech 2021 Jun 22;7(2):335-338. Epub 2021 Apr 22.

Department of Cardiovascular Surgery, Iaso Children's Hospital, Athens, Greece.

Fibrosing mediastinitis can lead to superior vena cava obstruction by generating a fibroinflammatory mass in the mediastinum. Surgical caval reconstruction with conduits could be indicated for cases of unsuccessful or technically unfeasible endovascular stenting and angioplasty. The use of cryopreserved vascular homografts seems to be better than prosthetic conduits for mid- and long-term patency, as was observed in the case we have described in the present report. Read More

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Designing Virtual Patients for Education of Nursing Students in Cancer Course.

Iran J Nurs Midwifery Res 2021 Mar-Apr;26(2):133-136. Epub 2021 Mar 5.

School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.

Background: One of the best approaches to promote clinical reasoning in nursing education is Virtual Patient (VP). The purpose of this study was to design and implement VPs for nursing student's education in caring for cancer patients.

Materials And Methods: In the first stage, through a descriptive-exploratory qualitative study using a focus group method, topics with higher priority in cancer nursing were identified. Read More

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Bekanntes Syndrom mit sehr ungewöhnlicher Ursache.

MMW Fortschr Med 2021 05;163(10):30-31

Facharzt für Innere Medizin, München, Deutschland.

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TARP syndrome associated with renal malformation and optic nerve atrophy.

BMJ Case Rep 2021 May 24;14(5). Epub 2021 May 24.

Department of Pediatrics at Fundación Santa Fé de Bogotá, Hospital Universitario de la Fundacion Santa Fe de Bogota, Bogota, Colombia.

Talipes equinovarus, atrial septal defect, Robin sequence and persistent left superior vena cava (TARP) syndrome is a congenital disease caused by mutations in the RBBM10 gene. It has a low prevalence and a high rate of mortality in the neonatal stage. In this case report, we present a case of a 32-week gestational age preterm newborn with a prenatal diagnosis of intrauterine growth restriction, with a persistent left superior vena cava, interatrial communication and a horseshoe kidney. Read More

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4 Deletions Associated with Congenital Heart Diseases in South Brazil.

J Pediatr Genet 2021 Jun 29;10(2):92-97. Epub 2020 Jul 29.

Graduate Program in Pathology, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, Brazil.

The normal development of the heart comprises a highly regulated machinery of genetic events, involving transcriptional factors. Congenital heart disease (CHD), have been associated with chromosomal abnormalities and copy number variants (CNVs). Our goal was to investigate through the multiplex ligation-dependent probe amplification (MLPA) technique, the presence of CNVs in reference genes for normal cardiac development in patients with CHD. Read More

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Totally implanted chemotherapy port catheters: literature review and report of four cases.

J Surg Case Rep 2021 May 10;2021(5):rjab194. Epub 2021 May 10.

Golestan University of Medical Sciences, 5 Azar Hospital, Gorgan, Iran.

Totally implantable catheters tend to be the most popular choice because once installed they allow permanent access to a deep vein, which is gained by puncturing the port rather than a vein. In this article, we explain four cases of chemotherapy port complications: superior vena cava (SVC) syndrome in a metastatic colorectal cancer patient who presented with bilateral mastitis, snare technique for removal of migrated catheter line, carotid artery placement of a port in a 5-year-old child that was referred to our hospital from a pediatric center and adhesive port tip in the heart that finally we left the port . In SVC syndrome, treatment should be guided by the severity of symptoms, etiology of the obstruction, prognosis of the patient and treatment goals. Read More

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Thymic epithelial tumor with superior vena cava syndrome diagnosed by percutaneous endovascular tumor biopsy: A report of two cases.

Respir Investig 2021 May 8. Epub 2021 May 8.

Department of Comprehensive Cancer Therapy, Shinshu University School of Medicine, Matsumoto, Japan.

Thymic epithelial tumor is a rare, potentially progressive disease that commonly infiltrates mediastinal structures. In rare cases, it may cause superior vena cava syndrome. Pretreatment histopathological diagnosis is essential to determine the most effective treatment strategy. Read More

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[Diffuse large B-cell lymphoma with mediastinal bulky mass associated with complication of repeated sinus arrest].

Rinsho Ketsueki 2021 ;62(4):262-266

Department of Internal Medicine, Kohsei Chuo General Hospital.

A 71-year-old woman presented to a clinic with the chief complaint of facial edema and dyspnea; chest radiography showed mediastinal mass shadow and right pleural effusion. Computed tomography guided biopsy of the mediastinal mass had been performed by her previous doctor, and she was diagnosed with diffuse large B-cell lymphoma. She was referred to our hospital for chemotherapy. Read More

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One-and-one-half Ventricle Repair: Role for Restricting Antegrade Pulmonary Blood Flow.

Ann Thorac Surg 2021 May 5. Epub 2021 May 5.

Harvard Medical School, Boston, MA; Department of Cardiovascular Surgery, Boston Children's Hospital, Boston, MA. Electronic address:

Background: In patients with hypoplastic sub-pulmonary ventricles, the one-and-one-half ventricle (1.5V) repair is an alternative to the Fontan. However, 1. Read More

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Patient with respiratory distress, facial oedema and refractory hypokalaemia.

BMJ Case Rep 2021 May 7;14(5). Epub 2021 May 7.

Medical Unit, National Hospital for Respiratory Disease, Welisara, Sri Lanka.

Small cell lung carcinoma, when associated with co-occurrence of complications such as paraneoplastic syndrome and superior vena cava syndrome, poses a greater management challenge to the clinical team. We report a 56-year-old man who was eventually diagnosed with stage III small cell lung carcinoma, presenting with respiratory distress, facial and upper body oedema, proximal muscle weakness, hypokalaemia, new-onset hypertension and hyperglycaemia. His medical management was complicated by associated superior vena cava syndrome and Cushing's syndrome leading to refractory hypokalemia, immunosuppression and depression. Read More

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Thromboembolic Complications of Vascular Catheters Used for Pediatric Continuous Renal Replacement Therapy: Prevalence in a Single-Center, Retrospective Cohort.

Pediatr Crit Care Med 2021 May 4. Epub 2021 May 4.

Department of Perioperative Medicine and Intensive Care, Karolinska University Hospital, Huddinge, Stockholm, Sweden. Department of Physiology and Pharmacology, Section of Anaesthesia and Intensive Care, Karolinska Institutet, Stockholm, Sweden. Department of Pediatric Perioperative Medicine and Intensive Care, Astrid Lindgren Children's Hospital, Karolinska University Hospital, Stockholm, Sweden. Department of Clinical Science Intervention and Technology (CLINTEC), Karolinska Institutet, Stockholm, Sweden.

Objectives: Pediatric venous thromboembolic events are commonly associated with in situ central venous catheters. The risk for severe venous thromboembolism increases if a larger portion of the vessel lumen is occupied by the central venous catheter. A functioning vascular catheter is required when the continuous renal replacement therapy is used in critically ill children. Read More

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Lead-associated Superior Vena Cava Syndrome.

J Innov Card Rhythm Manag 2021 Apr 15;12(4):4459-4465. Epub 2021 Apr 15.

Harvard-Thorndike Electrophysiology Institute, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.

Superior vena cava (SVC) syndrome is a rare complication associated with transvenous cardiac implantable electronic devices that may present with a variety of manifestations. Various strategies such as transvenous lead extraction, anticoagulation, venoplasty, and stenting have been used to treat this condition, but the optimal management protocols have yet to be defined. Subcutaneous implantable cardioverter-defibrillator (ICD) (S-ICD) therapy can be an alternative option to a transvenous system for those who require future ICD surveillance. Read More

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[Clinical study of causes and outcomes in pediatric liver retransplantation].

Zhonghua Wai Ke Za Zhi 2021 May;59(5):353-358

Organ Transplant Center, Tianjin First Central Hospital, Tianjin Key Laboratory for Organ Transplantation, Tianjin 300192, China.

To investigate the etiology,clinical features and prognosis of pediatric liver retransplantation. The data of 1 024 cases of pediatric liver transplantation (<18 years old) from January 2014 to December 2019 operated at Tianjin First Central Hospital were collected,retrospectively. Retransplantation was performed in 26 cases,among which 25 cases received secondary liver transplantation and 1 case received a third liver transplantation. Read More

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Pacemaker-Associated Superior Vena Cava Syndrome.

N Engl J Med 2021 Apr 24;384(17):e63. Epub 2021 Apr 24.

University of California, San Diego, La Jolla, CA

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Development and validation of a nomogram for assessing survival in extensive-stage small-cell lung cancer patients with superior vena cava syndrome referred for thoracic radiotherapy: a comparison of upfront vs. consolidative approaches.

Strahlenther Onkol 2021 Apr 28. Epub 2021 Apr 28.

Department of Thoracic Oncology, Cancer Center and State Key Laboratory of Biotherapy, West China Hospital, Sichuan University, 610041, Chengdu, China.

Purpose: This study sought to design and validate a nomogram capable of predicting outcomes in extensive-stage small-cell lung cancer (ES-SCLC) patients with superior vena cava syndrome (SVCS) based upon the timing of their radiotherapy treatment.

Methods: We retrospectively analyzed data from 175 ES-SCLC patients with SCVS, comparing outcomes between those that underwent upfront thoracic radiotherapy (initial radiotherapy with simultaneous chemotherapy) and those that underwent consolidative thoracic radiotherapy (following 4-6 cycles of chemotherapy). Significant predictors of patient outcomes were identified using a Cox proportional hazard model and were used to construct our nomogram. Read More

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[Cardiac Lipoma - Case presentation].

Laeknabladid 2021 May;107(5):240-242

Department of Cardiology, Faculty of Medicine University of Iceland.

Cardiac lipomas are very rare benign tumors of the heart. They are usually asymptomatic and are often an incidental finding on cardiac imaging. This case report involves an 82-year-old female with a history of diabetes admitted because of poor glycemic control. Read More

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The efficacy and safety of paclitaxel plus bevacizumab therapy in breast cancer patients with visceral crisis.

Breast 2021 Apr 10;58:50-56. Epub 2021 Apr 10.

Department of Medical Onology, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, Kashiwa 277-8577, Japan. Electronic address:

Background: Visceral crisis in metastatic breast cancer (MBC) is defined as severe organ dysfunction requiring rapidly efficacious therapy. Although weekly paclitaxel plus bevacizumab (wPTX + BV) achieves a high response rate in human epidermal growth factor receptor 2 (HER2)-negative MBC, the efficacy and safety of wPTX + BV for visceral crisis is unclear.

Methods: We retrospectively investigated patients with MBC with visceral crisis who received wPTX + BV. Read More

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Rapid Appearance of Skin Lesions as the Only Sign of Superior Vena Cava Syndrome.

Actas Dermosifiliogr 2021 Apr 24. Epub 2021 Apr 24.

Servicio de Dermatología, Hospital Universitario La Paz, Madrid, España.

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Impact of bilateral bidirectional Glenn anastomosis on staged Fontan strategy and Fontan circulation.

Eur J Cardiothorac Surg 2021 Apr 25. Epub 2021 Apr 25.

Department of Pediatric Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan.

Objectives: The aim of this study was to identify the impact of bilateral bidirectional Glenn (BBDG) anastomosis on staged Fontan strategy and late Fontan circulation.

Methods: Of 267 patients who underwent bidirectional Glenn prior to Fontan completion between 1989 and 2013, 62 patients (23%) who underwent BBDG were enrolled in this study. Age at operation was 0. Read More

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Superior vena cava stenosis presenting with bendopnea.

BMJ Case Rep 2021 Apr 21;14(4). Epub 2021 Apr 21.

Division of Cardiology, The University of Texas Southwestern Medical Center, Dallas, Texas, USA

Bendopnea, or dyspnoea with bending forward, is a recently described symptom of heart failure that is associated with elevated ventricular filling pressures. Here, we describe a case of superior vena cava (SVC) stenosis that presented with bendopnea and resolved with SVC recanalisation. We suggest that SVC stenosis be considered in the differential diagnosis of patients who experience bendopnea. Read More

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Primary angiosarcoma of superior vena cava: an unexpected diagnosis after an oncological emergency.

BMJ Case Rep 2021 Apr 16;14(4). Epub 2021 Apr 16.

Internal Medicine, Centro Hospitalar Universitário de Coimbra EPE, Coimbra, Portugal.

Angiosarcoma (AS) is a rare malignant tumour representing 1%-2% of all sarcomas. Primary AS of superior vena cava (SVC) was reported in two cases worldwide. We report a 69-year-old woman with neck discomfort, headache and dyspnoea for 3 months. Read More

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Recurrent Hematemesis From Downhill Esophageal Varices: A Therapeutic Challenge for Gastroenterologists.

Cureus 2021 Mar 11;13(3):e13840. Epub 2021 Mar 11.

Internal Medicine, Federal Medical and Dental College, Islamabad, PAK.

Downhill or upper esophageal varices have an etiology that differs from that of the "uphill" varices secondary to portal hypertension. Approximately 0.1% of all cases of variceal hemorrhage are due to downhill varices. Read More

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Hodgkin Lymphoma-Associated Superior Vena Cava Syndrome: A Case Report and Review of the Literature.

Am J Case Rep 2021 Apr 10;22:e929437. Epub 2021 Apr 10.

Department of Hematology/Oncology, Saint Agnes Healthcare Cancer Institute, Baltimore, MD, USA.

BACKGROUND Hodgkin lymphoma (HL) is a relatively rare etiology of superior vena cava (SVC) syndrome, with only 24 cases reported in the literature. The characteristics, management, and prognosis of HL-associated SVC syndrome remain unclear. This case report describes nodular sclerosis classical HL and the associated clinical manifestations presenting as SVC syndrome in a middle-aged patient, and it summarizes the characteristics of HL-associated SVC syndrome. Read More

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Radiofrequency catheter ablation in 246 children with supraventricular tachyarrhythmia.

Dan Med J 2021 Mar 24;68(4). Epub 2021 Mar 24.

Introduction: Radiofrequency catheter ablation (RFA) is the treatment of choice for a variety of cardiac arrhythmias in adults. RFA is considered effective and is associated with few complications. We aimed to review the characteristics and outcomes of invasive electrophysiological study (EPS) and RFA in children with supraventricular tachyarrhythmia. Read More

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Palliative radiation therapy for children with cancer.

Pediatr Blood Cancer 2021 May;68 Suppl 2:e28292

Division of Radiation Oncology, Boston Children's Hospital and Dana-Farber Cancer Institute, Boston, Massachusetts.

Radiation therapy (RT) is often used as a palliative treatment for children with recurrent malignant disease to ameliorate or prevent symptoms. However, no guidelines exist regarding the clinical indications or dose fractionation for palliative RT. The goal of this report is to provide guidelines for the use of palliative RT in children with cancer. Read More

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Cardiopulmonary Arrest Caused by Large Substernal Goiter-Treatment with Combined Cervical Approach and Median Mini-Sternotomy: Report of a Case.

Medicina (Kaunas) 2021 Mar 24;57(4). Epub 2021 Mar 24.

3rd Surgery Department, Medical School of Health Sciences, AHEPA University Hospital, Aristotle University of Thessaloniki, 54636 Thessaloniki, Greece.

Introduction: Substernal goiter is usually defined as a goiter that extends below the thoracic inlet or a goiter with more than 50% of its mass lying below the thoracic inlet. Substernal goiters may compress adjacent anatomical structures causing a variety of symptoms.

Case Report: Here we report a rare case of a 75-year-old woman presenting with cardiac arrest caused by acute respiratory failure due to tracheal compression by a substernal goiter. Read More

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