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    3934 results match your criteria Superior Vena Cava Syndrome

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    Hepatic Pseudolesion in SVC obstruction - (99m)Technetium Sulfur Colloid Scan Equivalent of Quadrate Lobe Hot Spot Sign on Computerized Tomography.
    Indian J Nucl Med 2017 Apr-Jun;32(2):128-129
    St. John's Medical College, Bangalore, Karnataka, India.
    An area of increased activity in segment IV of liver (quadrate lobe) on (99m)Tc-sulfur colloid (TSC) scans has been well documented in patients with superior vena cava obstruction. Similarly intense enhancement of the quadrate lobe in the arterial phase may be seen on computed tomography in patients of superior vena cava syndrome. We present this imaging finding in a case of malignant thymoma causing superior vena cava syndrome and discuss the physiological cause and importance of this sign. Read More

    Endovascular stenting for end-stage lung cancer patients with superior vena cava syndrome post first-line treatments - A single-center experience and literature review.
    J Chin Med Assoc 2017 May 10. Epub 2017 May 10.
    Division of Cardiovascular Surgery, Department of Surgery, Taipei Veterans General Hospital, Taipei, Taiwan, ROC; Department of Medicine, National Yang Ming University School of Medicine, Taipei, Taiwan, ROC. Electronic address:
    Background: Superior vena cava (SVC) syndrome is a major complication that occurs when a growing lung malignancy compresses the SVC extrinsically. Current treatment options include radiotherapy or chemotherapy to shrink the tumor or endovascular stenting of the SVC to restore flow. Herein, we report a case series treated in a single institution to demonstrate the safety, effectiveness, and outcomes of salvage and primary stenting for malignant SVC obstruction. Read More

    Endovascular Treatment of Concomitant Obstructions of a Denver Drainage Catheter and Superior Vena Cava in a Patient With Liver Cirrhosis.
    Int Heart J 2017 May 8. Epub 2017 May 8.
    Cardiovascular Center, Taichung Veterans General Hospital.
    With the increased use of intravascular catheters and devices, they have become the major non-malignant cause of superior vein cava (SVC) syndrome. We report a patient with liver cirrhosis who had received a peritoneovenous drainage catheter for refractory ascites, and then developed SVC syndrome because of concomitant occlusions of both the SVC and the drainage catheter. The patient regained patency of both the occluded vessel and the drainage catheter through percutaneous transluminal venoplasty, and there was dramatic improvement of clinical symptoms and good performance of the drainage catheter. Read More

    Superior Vena Cava Reconstruction Using Femoropopliteal Vein As a Panel Graft.
    Ann Vasc Surg 2017 May 4. Epub 2017 May 4.
    Department of Vascular Surgery, DeBakey Heart and Vascular Institute, Houston Methodist Hospital.
    There has been an increase in superior vena cava (SVC) syndrome secondary to the growinguse of indwelling catheters and pacemaker wire insertions. These two factors can account up to 74 % cases of benign SVC syndrome. Endovascular therapy is considered the first line of treatment. Read More

    Hepatic Pseudolesion due to "Vein of Sappey" in Superior Vena Cava Syndrome.
    Indian J Med Paediatr Oncol 2017 Jan-Mar;38(1):62-64
    Department of Medicine, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Maharashtra, India.
    One of the common causes of superior vena cava (SVC) syndrome is malignancy of the lung. The invasion of SVC leads to opening of the various venous channels for continuation of the blood flow from upper extremity and proximal trunk and finally draining into right atrium. Vein of Sappey is one of these channels and it causes focal striking enhancement in segment IV of the liver on arterial phase of contrast computed tomography (CT). Read More

    Behçet's disease-related superior vena cava syndrome and bleeding downhill varices: A rare complication.
    Ulus Travma Acil Cerrahi Derg 2017 Mar;23(2):170-172
    Istanbul Training and Research Center, Başkent University, Istanbul, Turkey
    Obstruction of the superior vena cava (SVC) due to any cause results in development of venous collaterals in the upper part of the esophagus, known as "downhill" varices. Although rare, bleeding can be life-threatening. Presently described is case of Behçet's diseaserelated SVC occlusion in a patient who presented with gastrointestinal bleeding from upper esophageal varices. Read More

    The primitive extratesticular seminoma: diagnosis of a rare pathology.
    Acta Biomed 2017 Apr 28;88(1):82-85. Epub 2017 Apr 28.
    .
     Background: The Primitive Extratesticular Seminoma is a very rare condition and represents 3% of germ cell tumors; it is an indeterminate origin disease, whose diagnosis is often complicated by a nonspecific and highly variable clinical finding.

    Case Presentation: A caucasian 55 years old male, non-smoker, arrived to our centre with cough, severe respiratory distress and dysphagia, in a context of the superior vena cava syndrome. A Computed Tomography was performed, which shows the presence of a mediastinal anterior mass with aorto-pulmonary window and left paracardiac invasion. Read More

    Intensity modulated radiation therapy to treat primary female mediastinal seminoma and massive pericardial effusion: A case report.
    Oncol Lett 2017 Mar 2;13(3):1299-1302. Epub 2017 Jan 2.
    Department of Oncology, The Second Xiangya Hospital of Central South University, Changsha, Hunan 410011, P.R. China.
    Primary mediastinal seminoma is a rare extragonadal germ cell tumour that mainly occurs in males. The present study reports the case of a 27-year-old woman that presented with superior vena cava syndrome and a large mass in the mediastinum, which was diagnosed as primary female mediastinal seminoma. The patient received 6 cycles of cisplatin-based chemotherapy [4 cycles BEP chemotherapy (120 mg cisplatin, 0. Read More

    Reconstruction of mediastinal vessels for invasive thymoma: a retrospective analysis of 25 cases.
    J Thorac Dis 2017 Mar;9(3):725-733
    Department of Thoracic Surgery, Shanghai Chest Hospital, Shanghai Jiao Tong University, Shanghai 200030, China.
    Background: Discuss an appropriate strategy for treatment of invasive thymoma invading adjacent great vessels.

    Methods: A retrospective study on 25 patients with invasive thymoma invading neighboring great vessels was performed. The corresponding data including clinical presentation, operation procedure, adjuvant radio-chemotherapy and follow-up were reviewed. Read More

    Stent insertion for malignant superior vena cava syndrome: effectiveness and long-term outcome.
    Radiol Med 2017 Apr 20. Epub 2017 Apr 20.
    Department of Interventional Radiology, Xuzhou Central Hospital, 199 South Jiefang Road, Xuzhou, Jiangsu, China.
    Purpose: To determine the clinical effectiveness and long-term outcome of stent insertion for malignant superior vena cava (SVC) syndrome.

    Materials And Methods: From June 2010 to April 2016, 47 patients with malignant SVC syndrome were treated with stent insertion in our center. Data regarding the technical success, clinical success, and long-term outcome were collected and analyzed retrospectively. Read More

    Nutcracker Syndrome: Case Report on the Management of Recurrent Stenosis After Stenting.
    Vasc Endovascular Surg 2017 May 23;51(4):203-208. Epub 2017 Mar 23.
    1 Division of Vascular Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, MD, USA.
    Nutcracker syndrome is a clinical entity leading to renal venous hypertension due to extrinsic compression of the left renal vein by the superior mesenteric artery. Current surgical therapy involves placement of an oversized renal vein stent with partial protrusion into the inferior vena cava (IVC) to relieve stenosis and prevent stent migration. Here, we present a patient with intractable pain and hematuria secondary to nutcracker syndrome who underwent left renal vein stent placement and developed recurrent symptoms due to flow-limiting kinking at the left renal hilum, with partial obstruction of the IVC from pseudointimal hyperplasia. Read More

    Alpha-fetoprotein elevation in NUT midline carcinoma: a case report.
    BMC Cancer 2017 Apr 13;17(1):266. Epub 2017 Apr 13.
    Division of Medical Oncology, Candiolo Cancer Institute - FPO, IRCCS, Strada Provinciale 142 Km 3.95, 10060, Candiolo, TO, Italy.
    Background: Nuclear protein in testis (NUT) midline carcinoma is a rarely diagnosed and potentially under-recognized type of squamous carcinoma that is considered one of the most aggressive human solid tumors. Alpha-fetoprotein elevation has been associated with chronic liver diseases and a limited number of cancers. In particular, in presence of a mediastinal mass in a young man, alpha-fetoprotein elevation is considered nearly pathognomonic of a non-seminoma germ-cell tumor. Read More

    Large thoracic tumor without superior vena cava syndrome.
    Folia Morphol (Warsz) 2017 Apr 10. Epub 2017 Apr 10.
    First Dept of Surgery, Vascular Division, Medical School, National & Kapodistrian University of Athens, Laiko General Hospital, Athens, Greece.
    A 62 year-old male with long-standing smoking history presented with hemoptysis. Plain chest x-ray showed abnormal findings proximate to the right pulmonary hilum. Bronchoscopy revealed a fragile exophytic tumor of the right wall of the lower third of the trachea, infiltrating the right main bronchus (75% stenosis) and the right upper lobar bronchus (near total occlusion). Read More

    Coronary sinus aneurysm associated with multiple venous anomalies.
    BMC Cardiovasc Disord 2017 Apr 5;17(1):95. Epub 2017 Apr 5.
    Department of Ultrasound, Shengjing Hospital of China Medical University, Shenyang, China.
    Background: Congenital anomalies of the venous system are rare, involve the inferior vena cava (IVC), a persistent left superior vena cava (PLSVC), and the left hepatic vein (LHV), and can make cardiac diagnostic and therapeutic procedures difficult.

    Case Presentation: We present a 67-year-old woman without heterotaxy syndrome associated with interruption of the left IVC that continued with the hemiazygos vein system, a PLSVC, and an anomalous LHV draining the into coronary sinus (CS). The venous anomalies caused a CS aneurysm. Read More

    Management of Non-Hodgkin Lymphoma: ICMR Consensus Document.
    Indian J Pediatr 2017 May 5;84(5):382-392. Epub 2017 Apr 5.
    Department of Pediatric Oncology, Tata Memorial Hospital, Parel, Mumbai, 400012, India.
    Hitherto poor outcomes, paucity of data and heterogeneity in International approach to Pediatric NHL (Non-Hodgkin Lymphoma) prompted the need for guidelines for Indian population with vast variability in access, affordability and infrastructure across the country. These guidelines are based on consensus among the experts and best available evidence applicable to Indian setting. Evaluation of NHL should consist of easily doable and rapid tissue diagnosis (biopsy or flow cytometry of peripheral blood/malignant effusions), St Jude/IPNHLSS (International Pediatric Non-Hodgkin Lymphoma Staging System) and risk grouping with CSF (Cerebro-spinal fluid), bone marrow, whole body imaging [CECT (Contrast enhanced computerized tomography) ± MRI (Magnetic resonance imaging)] and blood investigations for LDH (Lactate dehydrogenase), TLS (Tumor lysis syndrome) and organ functions. Read More

    How I treat central venous access device-related upper extremity deep vein thrombosis.
    Blood 2017 May 3;129(20):2727-2736. Epub 2017 Apr 3.
    Division of Hematology, Department of Medicine and.
    Central venous access device (CVAD)-related thrombosis (CRT) is a common complication among patients requiring central venous access as part of their medical care. Complications of CRT include pulmonary embolism, recurrent deep venous thrombosis, loss of central venous access, and postthrombotic syndrome. Patient-, device-, and treatment-related factors can influence the risk of CRT. Read More

    Surgical Treatment of an Invasive Thymoma with Intracaval and Intracardiac Extension.
    Acta Cardiol Sin 2017 Mar;33(2):204-206
    Division of Cardiovascular Surgery, Department of Surgery, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei City.
    A 53-year-old male with an invasive thymoma extending to the superior vena and right atrium, presenting as superior vena cava syndrome is herein reported. However invasive thymoma with this growth pattern is extremely rare. In this case, the tumor was successfully resected via median sternotomy with cardiopulmonary bypass. Read More

    Persistent Left Superior Vena Cava.
    Pediatr Dev Pathol 2017 Mar-Apr;20(2):182-185. Epub 2017 Jan 25.
    1 Section of Neonatology, University of Calgary, Calgary, Canada.
    Persistent left superior vena cava (PLSVC) is a common cardiac anomaly associated with congenital heart diseases. A diagnosis of PLSVC usually warrants a detailed fetal echocardiography. Lesser known associations are the extra cardiac anomalies notably the upper airway and the gastrointestinal tract anomalies. Read More

    Mediastinal syndrome from plasmablastic lymphoma in human immunodeficiency virus and human herpes virus 8 negative patient with polycythemia vera: a case report.
    J Med Case Rep 2017 Mar 21;11(1):75. Epub 2017 Mar 21.
    Department of Surgical, Oncological and Stomatological Disciplines, University of Palermo, Via Del Vespro 129, 90127, Palermo, Italy.
    Background: Plasmoblastic lymphoma is a rare and aggressive subtype of diffuse large B cell lymphoma, which occurs usually in the jaw of immunocompromised subjects.

    Case Presentation: We describe the occurrence of plasmoblastic lymphoma in the mediastinum and chest wall skin of an human immunodeficiency virus-negative 63-year-old Caucasian man who had had polycytemia vera 7 years before. At admission, the patient showed a superior vena cava syndrome, with persistent dyspnoea, cough, and distension of the jugular veins. Read More

    Giant Splenorenal Shunt in a Young Patient with Autoimmune Hepatitis/Primary Biliary Cholangitis Overlap Syndrome and Portal Vein Thrombosis.
    Case Rep Radiol 2017 20;2017:2167364. Epub 2017 Feb 20.
    Department of Diagnostic and Molecular Imaging, Radiation Therapy and Interventional Radiology, University Hospital Tor Vergata, Viale Oxford 81, 00133 Rome, Italy.
    We present a case of giant Splenorenal Shunt (SRS) associated with portal vein thrombosis in a 37-year-old woman with a twelve-year history of autoimmune hepatitis/primary biliary cholangitis overlap syndrome. At the moment of the CT examination laboratory tests showed creatinine 1.5 mg/dl, bilirubin 1. Read More

    Incidence of an Aberrant Right Subclavian Artery on Second-Trimester Sonography in an Unselected Population.
    J Ultrasound Med 2017 May 4;36(5):1015-1019. Epub 2017 Mar 4.
    Department of Obstetrics and Gynecology, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey.
    Objectives: The aim of this study was to assess the incidence of an aberrant right subclavian artery (ARSA) among an unselected population during second-trimester sonography and to review the importance of this conotruncal variant as a marker of Down syndrome.

    Methods: The presence or absence of an ARSA was assessed in an unselected population of 1913 second-trimester fetuses.

    Results: Among the 1913 patients, an ARSA was detected in 20 fetuses (1. Read More

    A case of prenatally detected left isomerism and hemiazygos continuation of inferior vena cava.
    J Clin Ultrasound 2017 Mar 3. Epub 2017 Mar 3.
    Iranian Fetal Medicine Foundation, Hope Generation Foundation, Tehran, Iran.
    Heterotaxy syndromes are defined as the disorders that involve abnormal arrangement of viscera. We present a case of prenatally diagnosed left isomerism in a 30-year-old primigravida woman referred to our hospital for complex cardiac abnormality. Sonographic findings included heart block, unbalanced atrioventricular septal defect, interruption of the inferior vena cava with hemiazygos continuation, double superior vena cava, a right-sided stomach, and biliary atresia. Read More

    Concurrent Central Venous Stent and Central Venous Access Device Placement Does Not Compromise Stent Patency or Catheter Function in Patients with Malignant Central Venous Obstruction.
    J Vasc Interv Radiol 2017 Apr 24;28(4):602-607. Epub 2017 Feb 24.
    Division of Interventional Radiology, Department of Radiology, Hospital of the University of Pennsylvania, Perelman School of Medicine, 1 Silverstein, 3400 Spruce Street, Philadelphia, PA 19104. Electronic address:
    Purpose: To determine if concurrent placement of a central venous stent (CVS) and central venous access device (CVAD) compromises stent patency or catheter function in patients with malignant central venous obstruction.

    Materials And Methods: CVS placement for symptomatic stenosis resulting from malignant compression was performed in 33 consecutive patients who were identified retrospectively over a 10-year period; 28 (85%) patients had superior vena cava syndrome, and 5 (15%) had arm swelling. Of patients, 11 (33%) underwent concurrent CVS and CVAD placement, exchange, or repositioning; 22 (67%) underwent CVS deployment alone and served as the control group. Read More

    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 Apr 7;61(2):232-238. 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 May 2;189(5):423-430. 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

    Prenatal diagnoses of an uncommon isolated obstructed supracardiac total anomalous pulmonary venous connection: Case report and review of the literature (CARE compliant).
    Medicine (Baltimore) 2017 Feb;96(5):e6061
    aDepartment of Pediatric Cardiology, University of Medicine and Pharmacy bDepartment of Obstetric and Gynecology I, University of Medicine and Pharmacy, Tirgu-Mures cMedlife. Constanta dCounty Emergency Hospital, Tîrgu-Mureş, România.
    Introduction: Total anomalous pulmonary venous connection is an uncommon congenital heart disease. Four types are described based on the site of pulmonary venous drainage: supracardiac, cardiac, infradiaphragmathic, and mixed connection. In most cases of supracardiac type, the common venous confluence drains through an ascending left vertical vein into the brachiocephalic vein, right superior vena cava, and then into the right atrium. 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 Apr 19;47(4):450-457. 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 Mar 14;40(3):294-300. Epub 2017 Feb 14.
    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

    Bilateral brachiocephalic vein compression: an unusual and rare presentation of multinodular goitre.
    BMJ Case Rep 2016 Oct 8;2016. Epub 2016 Oct 8.
    Department of Radiology, Eastbourne District General Hospital, Eastbourne, UK.
    An interesting and rare case where a longstanding multinodular goitre causes sudden onset symptoms of superior vena cava obstruction. The symptoms were caused by bilateral brachiocephalic vein compression against the first rib. The patient's symptoms included upper limb and facial swelling, whereas her lower limbs were not oedematous (figure 1). 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 2017 Apr 8;40(4):629-633. 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 2017 Feb 8;34(2):315-316. 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

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