4,721 results match your criteria Superior Vena Cava Syndrome


Gianturco Z-stent vena cava stenting potential complications in oncology.

Diagn Interv Radiol 2022 May;28(3):285

Department of Interventional Radiology, Quartier Quiez, Polyclinics Elsan Group Clinique Les Fleurs, Ollioules, France.

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Predictive risk score of respiratory complications in children with mediastinal tumors: A case-control study.

Cancer Med 2022 Jun 23. Epub 2022 Jun 23.

Department of Hematology/Oncology, Saitama Children's Medical Center, Saitama, Japan.

Background: The aim of this study was to examine risk factors of respiratory complications at the diagnosis and establish an algorithm of clinical management in children and adolescents with mediastinal tumors.

Methods: We retrospectively collected clinical information of all children and adolescents who presented with mediastinal tumors at Saitama Children's Medical Center from 1999 to 2019, including age, sex, pathological diagnosis, eight major clinical symptoms (cough, dyspnea, hypoxia, orthopnea, chest pain, wheeze, superior vena cava syndrome, and stridor), chest computed tomography (CT) findings (tumor location, mediastinal mass ratio, pleural fluid, pericardial effusion, and compression of trachea and bronchi), types of diagnostic procedure and anesthesia, respiratory complications (severe hypoxia, difficult ventilation, respiratory failure, and cardiopulmonary arrest), and clinical outcome. Subsequently, we calculated the risk score for predicting respiratory complications by combining clinical and radiological findings. Read More

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The Tale of a Rubbery White Clot: Poorly Differentiated Spindle Cell Sarcoma Presenting As Superior Vena Cava Syndrome.

Cureus 2022 May 17;14(5):e25071. Epub 2022 May 17.

Department of Oncology, St Luke's Hospital, Bethlehem, USA.

Sarcoma is an uncommon neoplasm of mesenchymal origin (1). The presentation is usually vague. It may present as a mass in the thigh or retroperitoneum, with resultant pain or paresthesia of the affected area. Read More

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Inferior Vena Cava Collapsibility Index: A Precise, Noninvasive Tool for Evaluation of Edema in Children with Nephrotic Syndrome.

Indian J Pediatr 2022 Jun 17. Epub 2022 Jun 17.

Pediatric Nephrology Unit, Pediatrics Department, Mansoura University Children's Hospital, Faculty of Medicine, Mansoura University, Mansoura, 35516, Egypt.

This study aimed to evaluate available volume status assessment tools in nephrotic syndrome (NS). Sixty children with INS were subdivided into hypovolemic and nonhypovolemic groups based on fractional excretion of sodium (FeNa%); all were studied for inferior vena cava collapsibility index (IVCCI), plasma atrial natriuretic peptide (ANP), and body composition monitor (BCM). Forty-four patients had nonhypovolemic and 16 had hypovolemic states. Read More

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Superior Vena Cava Syndrome Due to Thrombosis: A Case Report.

Cureus 2022 May 7;14(5):e24811. Epub 2022 May 7.

Pulmonary and Critical Care, Richmond University Medical Center, Staten Island, USA.

Superior vena cava (SVC) syndrome is a clinical entity with signs and symptoms resulting from obstruction of blood flow through the SVC. The resulting obstruction leads to edema in the upper body, including the head, neck, and upper extremities. Clinical signs and symptoms can include plethora, cyanosis, dyspnea, stridor, cough, and hoarseness, as well as more serious complications such as cerebral edema leading to headache, confusion, and coma. Read More

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Retrospective analysis: 5509 cases of "totally implantable venous access port systems implantation (TIVAPS) depth" assisted by digital radiography.

Langenbecks Arch Surg 2022 Jun 3. Epub 2022 Jun 3.

Department of Breast Surgery, Cancer Center, The First Affiliated Hospital of Zhengzhou University, 1 Jianshedong Str, Zhengzhou, 450052, China.

Purpose: Modern oncological treatment in breast cancer patients requires the precise delivery of chemotherapy infusion into the central venous systems without toxicity. TIVAPS is the significant method of chemotherapy delivery although certain internal or external complications associated with their placement. However, the long-term use of TIVAPS is still a concern to minimize the complications such as venous thrombosis syndrome (VTS) and cardiac defects. Read More

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Outcomes following prenatal diagnosis of isolated persistent left superior vena cava.

Arch Cardiovasc Dis 2022 May 14. Epub 2022 May 14.

Department of Paediatrics, Rouen University Hospital, 37, boulevard Gambetta, 76031 Rouen cedex, France.

Background: Prenatal diagnosis of persistent left superior vena cava is increasing, but little is known about outcomes of infants with prenatally diagnosed isolated persistent left superior vena cava.

Objective: To assess the outcomes of infants with isolated persistent left superior vena cava diagnosed prenatally compared with infants with associated malformations.

Methods: All cases of persistent left superior vena cava confirmed by specialized fetal echocardiography in pregnant women were included from a single-centre prospective registry. Read More

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A Rare Case of Polysplenia Syndrome Associated with Severe Cardiac Malformations and Congenital Alveolar Dysplasia in a One-Month-Old Infant: A Complete Macroscopic and Histopathologic Study.

J Cardiovasc Dev Dis 2022 Apr 27;9(5). Epub 2022 Apr 27.

Department of Basic Science, Faculty of Medicine, Lucian Blaga University of Sibiu, 550024 Sibiu, Romania.

Polysplenia syndrome represents a type of left atrial isomerism characterized by multiple small spleens, often associated with cardiac malformations and with of the abdominal organs. The case presented is of a one-month-old male infant, weighing approximately 3000 g, born at the County Clinical Emergency Hospital of Sibiu, who was hospitalized from birth until death. The patient suffered cardio-respiratory arrest due to severe hypoxia and septicemia on the background of a series of complex cardiac malformations associated with congenital abdominal organ anomalies. Read More

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Intracardiac baffle repair of complex completely unroofed coronary sinus with persistent left superior vena cava in an adult.

Asian Cardiovasc Thorac Ann 2022 May 24:2184923221103339. Epub 2022 May 24.

Division of Cardiothoracic Surgery, Department of Surgery, Srinagarind Hospital and Queen Sirikit Heart Center of the Northeast, Faculty of Medicine, 26684Khon Kaen University, Khon Kaen, Thailand.

A 35-year-old woman presented with dyspnea on exertion. The diagnosis was unroofed coronary sinus with persistent left superior vena cava and atrial septal defect. She underwent total correction with the intracardiac baffle technique by using an interatrial flap and autologous pericardial patch. Read More

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[Diagnostic clinical algorithm for mediastinal tumors].

Khirurgiia (Mosk) 2022 (5):43-51

Hertzen Moscow Cancer Research Center, Moscow, Russia.

Objective: To optimize therapeutic and tactical algorithm in patients with mediastinal tumors.

Material And Methods: The study included 300 patients with mediastinal tumors examined and treated in the Thoracic Surgery Department of the Hertzen Moscow Cancer Research Center between 2008 and 2019. Patients were stratified into 2 groups. Read More

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Comparison of superior and inferior vena cava diameter variation measured with transthoracic echocardiography to predict fluid responsiveness in mechanically ventilated patients after abdominal surgery.

BMC Anesthesiol 2022 May 17;22(1):150. Epub 2022 May 17.

Department of Anesthesiology, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, 321 Zhongshan Road, Nanjing, 210008, Jiangsu, China.

Background: The volume status of patients after major abdominal surgery constantly varies owing to postoperative diverse issues comprising fluid loss or capillary leakage secondary to systemic inflammatory reaction syndrome, et.al, the precise fluid responsiveness assessment is crucial for those patients. The purpose of this study is to validate the transthoracic ultrasonographic measurement of superior and inferior vena cava variation in predicting fluid responsiveness of mechanically ventilated patients after surgery. Read More

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Leadless pacemakers as a new alternative for pacemaker lead-related superior vena cava syndrome: A case report.

Pacing Clin Electrophysiol 2022 May 17. Epub 2022 May 17.

Cardiothoracic Department, Humanitas Gavazzeni, Bergamo, Italy.

Superior vena cava (SVC) syndrome is a rare disease induced by thrombosis and consequent occlusion of superior vena cava, negatively affecting morbidity and mortality. The incidence of SVC syndrome from central venous catheters and pacemaker or defibrillator leads is increasing. Optimal treatment of pacemaker or defibrillator-related SVC syndrome is not well defined. Read More

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A Case Report of Behcet's Disease With Thromboses in the Superior Vena Cava and External Iliac Vein.

Cureus 2022 Apr 12;14(4):e24064. Epub 2022 Apr 12.

Department of Internal Medicine, Dr. Ruth K. M. Pfau Civil Hospital Karachi, Karachi, PAK.

Behcet's disease (BD), also known as Behcet's syndrome, is a rare, chronic, autoimmune disorder of unknown origin. Its manifestations are thought to be caused by vasculitis, resulting in damage to blood vessels of all sizes throughout the body. We report a 25-year-old Pakistani male who is sexually active and presents with a one-year history of shortness of breath, cough, exertional dyspnea, and neck and facial swelling. Read More

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Intraoperative Collateral Drainage Evaluation Before Superior Caval Interruption in Partial Anomalous Pulmonary Venous Connection Repair.

Innovations (Phila) 2022 May-Jun;17(3):244-246. Epub 2022 May 13.

Cardiovascular Surgery, 16493Hospital Clínic, University of Barcelona, Spain.

A superior sinus venosus atrial septal defect and partial anomalous pulmonary venous connection was corrected by a minimally invasive approach by permanently ligating the superior vena cava and a single pericardial patch for rerouting the flow through the enlarged interatrial communication. The patient had persistency of the left superior vena cava draining in the coronary sinus but no innominate vein. This anatomy poses a risk of developing right-sided superior vena cava syndrome. Read More

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Symptom relief, prognostic factors, and outcome in patients receiving urgent radiation therapy for superior vena cava syndrome : A single-center retrospective analysis of 21 years' practice.

Strahlenther Onkol 2022 May 12. Epub 2022 May 12.

Clinic of Radiotherapy and Radiation Oncology, University Medical Center Göttingen, Göttingen, Germany.

Purpose: Superior vena cava syndrome (SVCS) often results from external vessel compression due to tumor growth. Urgent symptom-guided radiotherapy (RT) remains a major treatment approach in histologically proven, rapidly progressive disease. Despite several publications, recent data concerning symptom relief and oncological outcome as well as potential confounders in treatment response are still scarce. Read More

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Long term central venous catheters for haemodialysis causing an extra-cardiac right-to-left shunt.

J Nephrol 2022 Jun 11;35(5):1521-1524. Epub 2022 May 11.

Imperial College Healthcare NHS Trust, London, UK.

Central venous catheters can provide long-term access for haemodialysis patients who cannot have an arteriovenous fistula or graft fashioned. However, long-term central venous catheter use for haemodialysis may lead to complications including central venous stenosis, and superior vena cava obstruction in its worst form. Here, we describe the case of a patient on haemodialysis via central venous catheters for over 20 years, in whom chronic superior vena cava obstruction led to the development of mediastinal collateral vessels. Read More

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Differential hypoxemia and the clinical significance of venous drainage position during extracorporeal membrane oxygenation.

Perfusion 2022 May 11:2676591221090667. Epub 2022 May 11.

Department of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden.

Differential hypoxemia (DH) has been recognized as a clinical problem during veno-arterial extracorporeal membrane oxygenation (VA ECMO) although its features and consequences have not been fully elucidated.

This single center retrospective study aimed to investigate the clinical characteristics of patients manifesting DH as well as the impact of repositioning the drainage point from the inferior vena cava (IVC) to the superior vena cava to alleviate DH.

All patients (>15 years) commenced on VA ECMO at our center between 2009 and 2020 were screened. Read More

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Fibrosing Mediastinitis Presenting With Superior Vena Cava Syndrome.

Cureus 2022 Mar 31;14(3):e23700. Epub 2022 Mar 31.

Anesthesiology, Wayne State University School of Medicine, Detroit, USA.

Fibrosing mediastinitis (FM) is an uncommon diagnosis that involves the proliferation of extensive, dense fibrous tissue in the mediastinum. FM accounts for less than 1% of people with prior infection by that develop hypersensitivity immune responses to antigens released during the initial exposure. Other causes include tuberculosis, blastomycosis, sarcoidosis, radiation, and idiopathic. Read More

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Partial Anomalous Pulmonary Venous Connection With Intact Atrial Septum: Early and Midterm Outcomes.

Ann Thorac Surg 2022 Apr 30. Epub 2022 Apr 30.

Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota. Electronic address:

Background: Partial anomalous pulmonary venous return with intact atrial septum warrants greater understanding and evaluation in the literature.

Methods: From January 1993 to December 2018, 293 patients with partial anomalous pulmonary venous return underwent surgical repair. Of these, 45 patients (15. Read More

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[Hemangioendothelioma of the right innominate vein].

Khirurgiia (Mosk) 2022 (4):96-100

Herzen Moscow Research Oncological Institute - Branch of the National Medical Research Center of Radiology, Moscow, Russia.

The authors report a rare case of hemangioendothelioma of the right innominate vein complicated by superior vena cava syndrome. Considering development of enlarged venous collaterals, we performed circular resection of superior vena cava together with the right and left innominate veins without replacement. There were no postoperative complications. Read More

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[Superior Vena Cava Syndrome due to Large Cell Neuroendocrine Carcinoma Originated in the Mediastinum].

Kyobu Geka 2022 May;75(5):357-361

Department of Cardiovascular Surgery, Yokohama Sakae Kyosai Hospital, Yokohama, Japan.

We report a case of a 53-year-old man with superior vena cava( SVC) syndrome due to large cell neuroendocrine carcinoma (LCNEC) in the mediastinum. His chief complaint was general fatigue. On physical examination, both jugular veins were distended and his face and bilateral upper limbs were swollen. Read More

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A huge Ewing's sarcoma of the rib presenting with superior vena cava syndrome and dysphagia.

Thorac Cancer 2022 Jun 21;13(11):1726-1730. Epub 2022 Apr 21.

Lung Cancer Center, West China Hospital of Sichuan University, Chengdu, China.

A 24-year-old male patient was admitted to our center complaining of dizziness (superior vena cava syndrome [SVCS]), dysphagia and pain in the right chest wall. At the initial diagnosis, the patient had been found to have an irregular shaped 35 × 30 × 27 cm mass in the right side of his chest. On November 12, 2019, this patient received surgery in our center. Read More

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Invasive and Pharmacological Treatment of Deep Vein Thrombosis: A Scoping Review.

Curr Pharm Des 2022 ;28(10):778-786

Department of Vascular and Endovascular Surgery, Indiana University Health Ball Memorial Hospital, Weinheim, Germany.

The annual occurrence of venous thromboembolism (VTE) is 300,000-600,000 cases in the United States and 700,000 in Europe. VTE includes deep venous thrombosis (DVT) of upper or lower extremities, superior and inferior vena cava thrombosis, and pulmonary embolism (PE) as well. The primary treatment of DVT includes oral anticoagulation to prevent the progression of the thrombus and decrease the risk of pulmonary embolism. Read More

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Isolated Right Superior Vena Cava Drained to Left Atrium in a Child with Waardenburg Syndrome and Neurofibromatosis Type I.

J Saudi Heart Assoc 2022 10;34(1):11-14. Epub 2022 Mar 10.

Pediatric Cardiology, King Salman Heart Center, King Fahad Medical City, Riyadh, Saudi Arabia.

Isolated right superior vena cava (SVC) draining to the left atrium (RSVC-LA) is an extremely rare cyanotic congenital heart disease (CHD). Such lesion is easily missed with improper scanning or inattentive interpretation of echocardiography. This can result in potential systemic severe complications. Read More

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Invasive thymoma extending to the right atrium with superior vena cava syndrome presenting massive intracardiac thrombosis immediately after the start of chemotherapy: an autopsy case report.

Int Cancer Conf J 2022 Apr 28;11(2):158-163. Epub 2022 Feb 28.

Department of Respiratory Medicine and Infectious Disease, Graduate School of Medicine, Yamaguchi University, 1-1-1 Minami-Kogushi, Ube, Yamaguchi 755-8505 Japan.

Invasive thymomas with intraluminal tumor thrombi are rare. Removal of the thymoma and infiltration of the superior vena cava (SVC) is a curative alternative. We report an autopsy case of invasive thymoma with intraluminal growth into the intracardiac right atrium extension. Read More

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Bilateral chylothorax: A late complication of Kawashima procedure despite normal pulmonary pressures.

Int J Surg Case Rep 2022 Apr 28;93:106981. Epub 2022 Mar 28.

Department of Pediatrics, Section of Pediatric Critical Care, Driscoll Children's Hospital, 3533 South Alameda St, Corpus Christi, USA.

Introduction: Chylothorax, a relatively rare congenital heart disease early postoperative complication, is occurring more frequently due to complexity of cardiac surgeries.

Presentation Of Case: We present a 9-month-old boy who had hypoplastic left heart (HLH) syndrome with interrupted inferior vena cava (IVC) and bilateral superior vena cava (SVC) palliated with left sided modified Blalock-Taussig (MBT) shunt during neonatal period and second stage palliation with left sided bidirectional glen (BDG) procedure and right sided Kawashima procedure develop bilateral chylothorax two weeks after discharge.

Discussion: This is the first reported case in the literature of a patient who developed chylothorax with relatively low Fontan systemic venous pressures after a Kawashima procedure. Read More

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An updated narrative review on the management of the most common oncological and hematological emergencies.

Authors:
Ali Issani

Dis Mon 2022 Apr 1:101355. Epub 2022 Apr 1.

Baqai Medical University, Karachi, Pakistan. Electronic address:

Oncological emergencies are defined as an acute life-threatening event in a patient with a tumor occurring as part of their complex treatment regimen or secondarily to their underlying malignancy. These events can occur at any time from the initial diagnosis of their cancer to end-stage disease. These oncological emergencies are broadly classified into four major categories; metabolic, structural, hematological and treatment-related causes; and can be encountered in any clinical setting, ranging from primary care physician and emergency department visits to a variety of subspecialty environments. Read More

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Direct Oral Anticoagulant for a Right Atrial Thrombus Following Endovascular Stenting in Superior Vena Cava Syndrome.

Circ J 2022 Apr 1. Epub 2022 Apr 1.

Department of Cardiology, Pulmonology, Hypertension and Nephrology, Ehime University Graduate School of Medicine.

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Infected Retained Catheter-Related Sheath, an Underrecognized Complication of Central Venous Catheter Insertion: A Case Report.

Am J Case Rep 2022 Apr 3;23:e936290. Epub 2022 Apr 3.

Department of Interventional Cardiology, HCA Healthcare/USF Morsani College of Medicine GME: Largo Medical Center, Largo, FL, USA.

BACKGROUND Central venous catheters are indicated for a variety of conditions, including hemodynamic monitoring, hemodialysis, and long-term antibiotic and chemotherapy delivery. Several million are placed each year. Development of a fibrin sheath around the catheter is a common occurrence, with a reported incidence of 42-100% within 7 days of catheter placement. Read More

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