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    3897 results match your criteria Superior Vena Cava Syndrome

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    Primary mediastinal large B cell lymphoma in a woman who is human immunodeficiency virus positive presenting with superior vena cava syndrome: a case report.
    J Med Case Rep 2017 Feb 11;11(1):38. Epub 2017 Feb 11.
    Department of Cardiovascular Medicine, Jakaya Kikwete Cardiac Institute, P.O. Box 65141, Dar es Salaam, Tanzania.
    Background: The risk of non-Hodgkin lymphoma is increased 200-fold in individuals seropositive for human immunodeficiency virus compared to those free from human immunodeficiency virus. Human immunodeficiency virus-associated non-Hodgkin lymphoma is known for its atypical presentation, aggressive ability, widespread involvement, poor response to chemotherapy, and high relapse potential which makes both the diagnosis and management a difficult undertaking especially in resource-poor settings.

    Case Presentation: We report a case of primary mediastinal large B cell lymphoma in a 46-year-old woman of African descent who is human immunodeficiency virus positive who presented with symptoms of superior vena cava syndrome. Read More

    Composite Lymphoma: Opposite Ends of Spectrum Meet.
    J Clin Med Res 2017 Mar 25;9(3):213-215. Epub 2017 Jan 25.
    St. John Hospital and Medical Center, Detroit, MI, USA.
    An 18-year-old African-American female presented with an episode of syncope. Initial investigations revealed large lung mass with invasion into right atrium along with lesions in kidneys and liver. Patient also developed superior vena cava syndrome due to lung mass. Read More

    Transcaval core biopsy in malignant superior vena cava obstruction: Potential for single stage diagnosis and treatment.
    J Med Imaging Radiat Oncol 2017 Feb 7. Epub 2017 Feb 7.
    Department of Radiology, Austin Hospital, Melbourne, Victoria, Australia.
    Superior vena cava syndrome (SVCS) is secondary to obstruction of venous flow from the superior vena cava to the right atrium. Endovascular stenting is particularly useful when severe or rapidly progressive disease requires urgent treatment. In suspected mediastinal malignancy, transcaval biopsy can be combined with endovenous stenting to provide diagnosis and treatment in a single procedure. Read More

    Stent Implantation for Superior Vena Cava Syndrome of Malignant Cause.
    Rofo 2017 Feb 2. Epub 2017 Feb 2.
    Department of Radiology and Nuclear Medicine, Paracelsus Medical University Nuremberg, General Hospital Nuremberg, Germany.
    Purpose The purpose of this paper is the retrospective analysis of endovascular therapy for the treatment of superior vena cava syndrome (SVCS) of malignant cause. This study focuses on the effectiveness of the therapy regarding the duration of remission, symptom control and practicability. Materials and Methods From January 2003 to November 2012, therapeutic implantation of one or more stents was performed in 141 patients suffering from SVCS. Read More

    Implantation of VVI pacemaker in a patient with dextrocardia, persistent left superior vena cava, and sick sinus syndrome: A case report.
    Medicine (Baltimore) 2017 Feb;96(5):e6028
    aDepartment of Cardiology, China-Japan Union Hospital, Jilin University bDepartment of Gynecology and Obstetrics cDepartment of Pediatric, the First Hospital of Jilin University, Changchun, Jilin Province, china.
    Background: Dextrocardia, or right-lying heart, is an uncommon congenital heart disease in which the apex of the heart is located on the right side of chest. Persistent left superior vena cava (PLSVA) is a rare venous anomaly that is often associated with the abnormalities of cardiac transduction system. A case with combination of dextrocardia, persistent left superior vena cava, and sick sinus syndrome has not been reported. Read More

    Modified total cavopulmonary shunt as a staged Fontan operation.
    Asian Cardiovasc Thorac Ann 2017 Jan 1:218492317692466. Epub 2017 Jan 1.
    1 Department of Cardiovascular and Thoracic Surgery, Hokkaido University Hospital, Sapporo, Japan.
    The left superior vena cava became occluded in an infant with hypoplastic left heart syndrome. After a bidirectional Glenn procedure, he presented with severe oxygen desaturation and right ventricular dysfunction; the left superior vena cava drained into the inferior vena cava through collateral veins. As salvage therapy, we created a modified total cavopulmonary shunt using only autologous tissue in which the right hepatic vein and inferior vena cava drained into the pulmonary artery via a lateral tunnel in the right atrium. Read More

    Antiphospholipid Syndrome with Antiβ2glicoprotein-1 Antibodies as the Cause of Recurrent Tibial Vein Thrombosis in SAPHO syndrome.
    Acta Dermatovenerol Croat 2016 Dec;24(4):305-306
    Hanna Przepiera-Będzak, MD, Department of Rheumatology and Internal Diseases, Pomeranian Medical University in Szczecin, Unii Lubelskiej 1, 71-252 Szczecin, Poland.
    The antiphospholipid antibody syndrome is defined by the presence of antiphospholipid antibodies in patients with recurrent venous or arterial thromboembolism (1). SAPHO syndrome is a rare disease, characterized by specific clinical manifestations of synovitis, acne pustulosis, hyperostosis, and osteitis. It is a disease that manifests with a combination of osseous and articular manifestations associated with skin lesions (2). Read More

    Intravascular ultrasound versus digital subtraction angiography: direct comparison of intraluminal diameter measurements in pediatric and adolescent imaging.
    Pediatr Radiol 2017 Jan 19. Epub 2017 Jan 19.
    Department of Radiology and Imaging Sciences, Division of Interventional Radiology and Image-guided Medicine, Emory University School of Medicine, 1364 Clifton Road NE, Suite D 112, Atlanta, GA, 30322, USA.
    Background: Intravascular ultrasound (IVUS) allows intraluminal imaging of blood vessels rather than the one-dimensional luminal outline depicted by digital subtraction angiography (DSA). Despite extensive literature in multiple adult vascular diseases, IVUS has not been directly compared to DSA in pediatric and adolescent vascular pathologies.

    Objective: The purpose of this manuscript is to compare absolute luminal diameter measurements obtained via IVUS and DSA during a variety of pediatric endovascular procedures. Read More

    Endovascular Treatment of Superior Vena Cava Syndrome via Balloon-in-Balloon Catheter Technique with a Palmaz Stent.
    Tex Heart Inst J 2016 Dec 1;43(6):520-523. Epub 2016 Dec 1.
    Superior vena cava syndrome is a well-known disease entity that carries substantial rates of morbidity and mortality. Although most cases of superior vena cava syndrome are secondary to a malignant process, additional causes (such as mediastinal fibrosis, pacemaker lead implantation, or central venous catheter placement) have been reported. Multiple treatment options include percutaneous transluminal angioplasty, stent implantation, thrombolysis, mechanical thrombectomy, and venous grafting. Read More

    Conservative Management of Ureteral Injury Caused by a Lumbar Osteophyte.
    J Endourol Case Rep 2016 1;2(1):240-242. Epub 2016 Dec 1.
    Department of Surgery, Sanford School of Medicine, University of South Dakota , Rapid City, South Dakota.
    Background: Osteophytes are bony outgrowths commonly found on lumbar vertebrae. They rarely produce complications with the most common complication being nerve entrapment, but rarer complications including aorta or inferior vena cava rupture, superior mesenteric artery syndrome, compression of the iliopsoas muscle, and cerebrospinal fluid leaks have been described. Rare cases affecting the ureter resulting in ureteral colic or extravasation of urine have been described. Read More

    Percutaneous Transhepatic Fontan-Kreutzer Completion of Hepatic Vein Inclusion.
    World J Pediatr Congenit Heart Surg 2017 Jan 1:2150135116682455. Epub 2017 Jan 1.
    1 Division of Congenital Heart Surgery, Hospital Privado Universitario de Córdoba, Córdoba, Argentina.
    We report the case of an 11-year-old girl with heterotaxy syndrome, dextrocardia, and azygos continuation of an interrupted inferior vena cava who had developed pulmonary arteriovenous fistulas after a Kawashima procedure consisting of bilateral superior cavopulmonary anastomoses. She presented with profound cyanosis, fatigue, and failure to thrive. An operative procedure to direct hepatic vein effluent to the pulmonary circulation was performed with placement of an extracardiac conduit between the hepatic veins and the left pulmonary artery. Read More

    Mapping for Acute Transvenous Phrenic Nerve Stimulation Study (MAPS Study).
    Pacing Clin Electrophysiol 2017 Jan 5. Epub 2017 Jan 5.
    Medtronic Bakken Research Center, Maastricht, the Netherlands.
    Background: Central sleep apnea syndrome, correlated with the occurrence of heart failure, is characterized by periods of insufficient ventilation during sleep. This acute study in 15 patients aims to map the venous system and determine if diaphragmatic movement can be achieved by phrenic nerve stimulation at various locations within the venous system.

    Methods: Subjects underwent a scheduled catheter ablation procedure. Read More

    Complications after a Bidirectional Cavopulmonary Anastomosis with Accessory Sources of Pulmonary Blood Flow.
    Int J Angiol 2016 Dec 12;25(5):e51-e53. Epub 2014 May 12.
    Ophthalmology Service, Dr. Negrín University Hospital of Gran Canaria, Las Palmas, Gran Canaria, Spain.
    Creating an accessory source of pulsatile pulmonary blood flow in a patient with a bidirectional cavopulmonary anastomosis may have advantages and disadvantages. In relation to the latter, we report the complications seen in a cyanotic congenital heart disease patient who developed a superior vena cava syndrome plus severe swelling of his right hand that evolved satisfactorily after percutaneous and medical treatment. Read More

    A Review of Open and Endovascular Treatment of Superior Vena Cava Syndrome of Benign Aetiology.
    Eur J Vasc Endovasc Surg 2017 Feb 19;53(2):238-254. Epub 2016 Dec 19.
    Department of Vascular Surgery, National and Kapodistrian University of Athens Medical School, Attikon University Hospital, Athens, Greece; Department of Surgery and Cancer, Imperial College, London, UK.
    Background: The widespread use of central venous catheters, ports, pacemakers, and defibrillators has increased the incidence of benign superior vena cava syndrome (SVCS). This study aimed at reviewing the results of open and endovascular treatment of SVCS.

    Method: Medical literature databases were searched for relevant studies. Read More

    Superior Mesenteric Artery Syndrome with Abdominal Compartment Syndrome.
    Case Rep Emerg Med 2016 27;2016:7809281. Epub 2016 Nov 27.
    University of Texas Dell Medical School, Emergency Medicine Residency, Austin, TX, USA.
    Superior Mesenteric Artery (SMA) syndrome is a condition in which the duodenum becomes compressed between the SMA and the aorta, resulting in bowel obstruction which subsequently compresses surrounding structures. Pressure on the inferior vena cava (IVC) and aorta decreases cardiac output which compromises distal blood flow, resulting in abdominal compartment syndrome with ischemia and renal failure. A 15-year-old male with SMA syndrome presented with 12 hours of pain, a distended, rigid abdomen, mottled skin below the waist, and decreased motor and sensory function in the lower extremities. Read More

    Rare thymic malignancy of B-cell origin - T-cell÷histiocyte-rich large B-cell lymphoma.
    Rom J Morphol Embryol 2016 ;57(3):1075-1083
    Department of Pathology, University of Medicine and Pharmacy of Craiova, Emergency County Hospital of Craiova, Romania;
    Aim: T-cell÷histiocyte-rich B-cell lymphoma is a rare type of diffuse large B-cell lymphoma reported as involving primarily the thymus only by one paper in the English literature.

    Case Presentation: A four and a half years old boy was admitted, after a sudden onset in the middle of the night, with superior vena cava syndrome, resuscitated cardiac and respiratory arrest and severe coma with Glasgow Coma Scale rate of 3. In spite of intensive treatment, the patient repeated twice the cardiac arrest and died sixteen hours after admittance. Read More

    A "Train-Track" Technique in Anatomic Reconstruction of SVC Bifurcation Complicated by Cardiac Tamponade: An Introspection.
    Cardiovasc Intervent Radiol 2016 Dec 8. Epub 2016 Dec 8.
    Section of Vascular and Interventional Radiology, Imaging Institute, L10, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH, 44195, USA.
    This report describes a stenting technique used to anatomically reconstruct superior vena cava (SVC) bifurcation in a patient with benign SVC syndrome. After recanalizing the SVC bifurcation, we exchanged two 0.035-in. Read More

    Nutcracker syndrome: A rare cause of left flank pain that can also manifest as unexplained pelvic pain.
    Joint Bone Spine 2016 Dec 5. Epub 2016 Dec 5.
    Service Radiologie centrale, Hôtel-Dieu, CHU Nantes, 44093 Nantes Cedex 01, France.
    Nutcracker syndrome (NCS) is symptomatic unilateral renal venous hypertension due to compression of the left renal vein between the superior mesenteric artery and aorta (anterior NCS) or between the aorta and spine (posterior NCS). The left ovarian or spermatic vein empties into the left renal vein and is an additional site of venostasis in about half the cases of NCS. The presenting symptom of NCS in about half the cases is atypical left flank pain suggesting a disorder of the lower ribs or thoracolumbar spinal junction, particularly as the pain worsens with standing and increased lumbar lordosis. Read More

    Atrial septal defect repair gone wrong.
    Echocardiography 2016 Dec 8. Epub 2016 Dec 8.
    Wayne State University, Detroit, MI, USA.
    Isolated atrial septal defect (ASD) accounts for 13% of congenital heart disorders. The anatomic location, size, and coexistence of other cardiac anomalies determine outcomes of repair. Surgical closure was the first-choice treatment until the 1990s and remains the only treatment for large defects. Read More

    Complications of Vascular Access: Superior Vena Cava Syndrome.
    Am J Kidney Dis 2017 Feb 17;69(2):309-313. Epub 2016 Nov 17.
    Division of Nephrology, The Ohio State University Wexner Medical Center, Columbus, OH.
    Stenosis or occlusion of central veins in hemodialysis patients is common, especially with previous intravascular catheter or device use. Superior vena cava (SVC) obstruction is emerging as a frequent chronic complication of central vein cannulation that not only jeopardizes the availability of vascular access for hemodialysis, but can become a life-threatening emergency. Clinical features of SVC syndrome can be subtle or dramatic, including facial swelling and shortness of breath, which require expeditious attention and intervention. Read More

    Long-term outcomes of pulmonary arterial hypertension under specific drug therapy in Eisenmenger syndrome.
    J Heart Lung Transplant 2016 Oct 15. Epub 2016 Oct 15.
    Faculté de Médecine Paris-Sud, Université Paris-Sud, Université Paris-Saclay, le Kremlin-Bicêtre, France; Inserm UMR-S 999, Hôpital Marie Lannelongue, Université Paris-Sud, Université Paris-Saclay, le Kremlin-Bicêtre, France; Laboratoire de Physiologie, Hôpital Marie-Lannelongue, Le Plessis-Robinson, France.
    Background: The long-term effectiveness of pulmonary arterial hypertension-specific drug therapy (PAH-SDT) in Eisenmenger syndrome is controversial. We investigated short-term and long-term hemodynamic changes under PAH-SDT and their associations with outcomes in a bicentric cohort.

    Methods: Over 20 years, we included 69 patients with congenital heart disease, an indexed pulmonary vascular resistance (PVRi) >8 WU·m(2), and 292 standardized catheterizations at baseline and after PAH-SDT initiation or intensification. Read More

    [Progress on the Therapeutic Approaches for Malignant Tumor 
with Superior Vena Cava Syndrome].
    Zhongguo Fei Ai Za Zhi 2016 Nov;19(11):784-788
    Department of Thoracic Surgery, the First Hospital of Peking University, Beijing 100034, China.
    Patients with thoracic malignant tumors often suffered from superior vena cava syndrome (SVCS), featured by high morbidity and mortality. Traditionally treated with palliative approaches, SVCS has been widely studied and novel therapeutic approaches have been investigated, focusing on drug therapy, interventional therapy, radiation therapy, surgery and proton therapy. In this manuscript, the progress of therapeutic approaches for SVCS is summarized. Read More

    [Port-catheter associated superior vena cava syndrome in a patient with rectum cancer].
    Dtsch Med Wochenschr 2016 Nov 17;141(23):1694-1697. Epub 2016 Nov 17.
    History and clinical findings | A 59-year-old man with metastasized rectum cancer presents at the interdisciplinary emergency care unit with a distinct cyanosis of his face. At that moment the patient himself is out of any complaints. Cyanosis is spreading from his face over his neck to both arms. Read More

    Massive Thrombosis of the Right Atrium Extended to the Superior Vena Cava at the Diagnosis of Acute Myeloid Leukemia.
    Case Rep Cardiol 2016 26;2016:6802429. Epub 2016 Oct 26.
    Department of Clinical Hematology and Pediatric Oncology, Hospital August 20, 1953, University Hassan II, Casablanca, Morocco.
    Introduction. Venous thromboembolic disease is a common complication found in 8% of patients with acute myeloid leukemia. The location at the right atrium is exceptional. Read More

    Interrupted aortic arch with isolated persistent left superior vena cava in patient with Turners syndrome.
    Avicenna J Med 2016 Oct-Dec;6(4):117-119
    Department of Cardiology, Prince Sultan Cardiac Centre, Al-Qassim, Buraydah, Saudi Arabia; Department of Cardiac Imaging, Prince Sultan Cardiac Centre, Al-Qassim, Buraydah, Saudi Arabia.
    We present a case of 13-year-old female with Turner syndrome (TS), who presented with unexplained lower limbs swelling and ejection systolic murmur at the left second intercostal space. Suspicion of mild aortic coarctation was made by echocardiography. Computed tomography angiography (CTA) showed a complete interruption of the aortic arch (IAA) below the left subclavian artery with persistent left superior vena cava (PLSVC) and absent right SVC, defined as an isolated PLSVC. Read More

    Mechanically assisted bidirectional cavopulmonary shunt in neonates and infants: An acute human pilot study.
    J Thorac Cardiovasc Surg 2017 Feb 28;153(2):441-447. Epub 2016 Sep 28.
    Division of Cardiovascular Surgery, The Hospital for Sick Children and The University of Toronto, Toronto, Ontario, Canada. Electronic address:
    Objective: Poor survival following surgical palliation for hypoplastic left heart syndrome (HLHS) raises the question of the need for a paradigm shift. This is the first human study to investigate the possibility of primary "in-series" palliation in neonates and infants with HLHS in an acute setting with the aid of 2 types of mechanical assist: superior vena cava (SVC)-to-pulmonary artery (PA) pump assist and SVC-to-right atrium (RA) oxygenation assist.

    Methods: By rearranging the cannula sites and flow rates for modified ultrafiltration, 2 types of mechanically assisted bidirectional cavopulmonary shunt (BCPS) circulation were simulated for 20 minutes. Read More

    Lung cancer with superior vena cava syndrome diagnosed by intravascular biopsy using EBUS-TBNA.
    Respir Med Case Rep 2016 7;19:177-180. Epub 2016 Oct 7.
    Division of Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea.
    Since superior vena cava syndrome (SVCS) is a critical condition, immediate diagnostic approach and therapy are imperative to avoid potentially life-threatening complications. Here, we report a case of lung cancer with SVCS, which was diagnosed through intravascular tumor biopsy using endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA). EBUS-TBNA enabled us to obtain tissue sufficient for diagnosis, without significant complications. Read More

    Patency of grafts after total resection and reconstruction of the superior vena cava for thoracic malignancy.
    Surg Today 2016 Dec 14;46(12):1421-1426. Epub 2016 Jun 14.
    Department of General Thoracic Surgery, Juntendo University School of Medicine, 1-3, Hongo 3 Chome, Bunkyo-ku, Tokyo, 113-8431, Japan.
    Purposes: Resection and reconstruction of the superior vena cava (SVC) is used for the complete resection of advanced lung cancer and mediastinal tumors. However, the optimal postoperative management for this procedure remains to be elucidated.

    Methods: 1897 patients with lung cancer and/or mediastinal tumors underwent surgical resection at our institute. Read More

    Invasive thymoma presenting as classic superior vena cava syndrome: a case of venous spread metastasis.
    BMJ Case Rep 2016 Oct 26;2016. Epub 2016 Oct 26.
    Department of Pathology, All India Institute of Medical Sciences, New Delhi, India.
    The approach to an intrinsic cause of superior vena cava syndrome (SVCS) is usually difficult but rewarding. We report a case of a middle-aged man who presented with progressive oedema of the upper half of the body, dyspnoea, cough and weight loss for a 1-year duration. He was a non-smoker without prior hospitalisation. Read More

    [Primary mediastinal large B-cell lymphoma in women: about five cases].
    Pan Afr Med J 2016 30;24:181. Epub 2016 Jun 30.
    Service de Pneumologie, Hôpital Ibn Sina, CHU Rabat, Maroc.
    Primary mediastinal large B-cell lymphoma (PMBL) is a lymphoma occurring in the anterior mediastinum starting from the cells B of the thymique medullary zone. This is a rare entity characterized by epidemiological, clinical and evolutionary peculiarities as well as by pathological and immunohistochemical peculiarities. We report a case series of 5 patients with diagnosed PMBL hospitalized in Pulmonology Department of Ibn Sina Hospital between January 2012 and May 2016. Read More

    Bleeding 'downhill' esophageal varices associated with benign superior vena cava obstruction: case report and literature review.
    BMC Gastroenterol 2016 Oct 24;16(1):134. Epub 2016 Oct 24.
    Department of Medicine, Division of Gastroenterology & Hepatology, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, Portland, OR, L-461, USA.
    Background: Proximal or 'downhill' esophageal varices are a rare cause of upper gastrointestinal hemorrhage. Unlike the much more common distal esophageal varices, which are most commonly a result of portal hypertension, downhill esophageal varices result from vascular obstruction of the superior vena cava (SVC). While SVC obstruction is most commonly secondary to malignant causes, our review of the literature suggests that benign causes of SVC obstruction are the most common cause actual bleeding from downhill varices. Read More

    Follicular thyroid carcinoma with tumour thrombus extending into superior vena cava and right atrium - A case report.
    Indian Heart J 2016 Sep 11;68 Suppl 2:S146-S147. Epub 2016 Jun 11.
    Division of Pacing & Electrophysiology, Krishna Institute of Medical Sciences, Hyderabad, India.
    Intra-cardiac extension of tumour thrombus of follicular carcinoma of thyroid is uncommon. We report a case of advanced thyroid carcinoma where tumour thrombus was well profiled with CT scan and transesophageal echo images and extension was noted from SVC into right atrium, with clinical features of superior vena cava syndrome. The clinical significance of the "ring sign" is discussed. Read More

    Primary mediastinal synovial sarcoma with subsequent development of primary adenoid cystic carcinoma of lung presenting as superior vena cava syndrome.
    Clin Respir J 2016 Mar 14. Epub 2016 Mar 14.
    Department of Medical and Pediatric Oncology, GCRI, Ahmedabad, Gujarat, India.
    Primary mediastinal sarcomas are aggressive tumors with a very rare incidence. This report describes the case of a 35 year old male patient who presented with acute symptoms of dyspnoea, facial puffiness, engorged neck veins and hoarseness of voice. With the clinical picture consistent with the superior vena caval (SVC) syndrome, the patient was investigated with computed tomography of the chest. Read More

    Congenital Absence of Superior Vena Cava with no Manifestation of Superior Vena Cava Syndrome.
    Korean Circ J 2016 Sep 28;46(5):743-745. Epub 2016 Sep 28.
    Cardiovascular Center, Seoul National University Bundang Hospital, Seongnam, Korea.
    Total absence of superior vena cava (SVC) is a very rare anomaly, and the patient usually suffers from SVC syndrome or conduction disturbances. We report an asymptomatic 27 year-old male, with complete absence of SVC. Transthoracic echocardiography and computed tomography demonstrated the absence of SVC and other congenital cardiac anomalies, but the presence of prominent collateral vessels that allow a sufficient venous return. Read More

    Mediastinal syndrome: A report of three cases.
    Exp Ther Med 2016 Oct 12;12(4):2237-2240. Epub 2016 Aug 12.
    Department of Clinical Medicine and Rheumatology, Campus Bio-Medico University of Rome, I-00128 Rome, Italy.
    Mediastinal syndromes are a group of disorders involving the anatomical structures of the mediastinum. An increase in the incidence of this syndrome has been observed following the widespread use of diagnostic imaging. In the present study, three different cases of mediastinal syndrome, one of which was complicated by superior vena cava syndrome, are discussed. Read More

    Surgical Treatment of Benign Superior Vena Cava Syndrome.
    Ann Thorac Surg 2016 Oct;102(4):e369-71
    Department of Cardiovascular and Thoracic Surgery, University of Louisville School of Medicine, Louisville, Kentucky. Electronic address:
    The obstruction of blood flow through the superior vena cava (SVC) into the right atrium may present as a severe clinical syndrome. One of the benign causes of SVC obstruction is the long-term use of indwelling catheters and wires, increasing the chances of SVC thrombosis. The treatment of the benign SVC syndrome is focused on achieving long-term durability and patency of the superior venocaval system and normal life expectancy. Read More

    Downhill varices: an uncommon cause of upper gastrointestinal bleeding.
    Rev Esp Enferm Dig 2016 Jul;108(7):440-442
    aparato Digestivo, hospital Virgen del Rocio (Sevilla), España.
    Background: Upper gastrointestinal bleeding (UGIB) is a common condition in gastroenterology, but "Downhill Varices" (DHV) or varices of the upper oesophagus are an uncommon cause of UGIB, with different aetiology from lower third oesophageal varices and different therapeutic implications.

    Case Report: A 28-year-old male patient, with a history of chronic kidney failure secondary undergoing haemodialysis and superior vena cava syndrome (SCVS) due to multiple catheter replacements, was admitted to the Emergency Department with haematemesis secondary to a varicose vein rupture in the proximal third of oesophagus, treated initially with ethanolamine. Subsequent diagnostic studies showed the collateral circulation secondary to the SCVS. Read More

    Decompressing vein and bilateral superior venae cavae in a patient with hypoplastic left heart syndrome.
    Echocardiography 2016 Sep 19;33(9):1428-31. Epub 2016 Sep 19.
    Department of Pediatrics (Cardiology), Lucile Packard Children's Hospital, Stanford University Medical Center, Palo Alto, California.
    The levoatrial cardinal vein (LACV), first described in 1926, acts as a decompressing vessel for pulmonary venous return in cases of severe left-sided obstruction with an intact or significantly restrictive atrial septum. The LACV and the persistent left superior vena cava (LSVC) are thought to share similar embryologic origins. To challenge this notion, we present a unique case of a neonate with hypoplastic left heart syndrome, cor triatriatum, and a decompressing LACV in the presence of bilateral superior venae cavae. Read More

    A Patient with a Right Atrium Mass and Congenital Heart Disease: A Challenging Diagnosis of a Stubborn Disease.
    Case Rep Cardiol 2016 21;2016:6810961. Epub 2016 Aug 21.
    Geriatric ICU, Sichuan Provincial People's Hospital, Chengdu, Sichuan 610072, China.
    Cardiac lymphoma is extremely rare. An intracardiac mass has rarely been reported to be the cardiac involvement of extranodal lymphoma. It is difficult to establish a final diagnosis via routine examinations. Read More

    Primary rhabdomyosarcoma of the thyroid in an adult with auricular thrombosis.
    Eur Ann Otorhinolaryngol Head Neck Dis 2017 Feb 29;134(1):49-51. Epub 2016 Aug 29.
    Service of General Surgery, Virgen de la Arrixaca Clinical University Hospital, Instituto Murciano de Investigaciones Biosanitarias (IMIB), Crta./Madrid-Cartagena s/n. El Palmar, 30120 Murcia, Spain.
    Introduction: Rhabdomyoscarcoma (RMS) is the most common soft-part tumour in children, however, it is infrequent in adults. Thyroid involvement is exceptional and only four cases have been reported: two primary RMS in children and another two cases in young adults with RMS metastasis to the thyroid. We report the first case in the literature of a primary adult RMS with thyroid involvement and superior vena cava syndrome. Read More

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