Superior vena cava syndrome after cardiac surgery

Arafat, Heba; Ali, Ghada

doi:10.4103/ejca.ejca_5_19

Cited by 2 publications

(2 citation statements)

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“…Metastasis toraks dari keganasan ekstratoraks terutama payudara dan testis menyebabkan obstruksi VKS dalam jumlah kecil. 4,16 Kompresi VKS dapat pula disebabkan oleh proses bukan keganasan seperti fibrosis mediatinitis, aneurisma aorta, pneumomediastinum, pneumotoraks dan hematoma mediastinum. Tinjauan dari mayo clinic dan cleveland clinic melaporkan penyakit granulomatosa mediastinum yang mengakibatkan fibrosis mediastinitis sebagai penyebab utama obstruksi VKS bukan keganasan.…”

Section: Patofisiologi Dan Etiologi Sindrom Vena Kava Superiorunclassified

“…Risiko trombosis juga meningkat pada pasien dengan polisitemiavera dan aneurisma vena kava kongenital. 4,16,20,21 Obstruksi VKS mengawali terbentuknya aliran balik vena kolateral sebagai jalur alternatif aliran vena menuju atrium kanan yang terdiri dari empat jalur utama. Jalur pertama dan paling penting adalah sistem vena azigos, vena hemiazigos dan vena interkostal.…”

Section: Patofisiologi Dan Etiologi Sindrom Vena Kava Superiorunclassified

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Tinjauan Pustaka: Sindrom Vena Kava Superior

Putri,

Adrianison,

Munir

2024

JIK

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Superior Vena Cava Syndrome (SVCS) includes various clinical signs and symptoms due to external compression and intrinsic obstruction of superior vena cava (SVC) itself or the superior cavo-atrial junction that cause reducing of blood flow. Infection becomes main etiology in previous decades but development in antibiotics treatment and improvement of socio-economyc condition made incidence of SVCS due to infection decreased. SVCS due to malignancy recently reach 60-90% of overall cases. 78-85% of SVC obstructions due to malignancy are caused by lung cancer and 80% of it is right lesion. Historically SVCS is considered as an oncology emergency condition and become one of a few indications for palliative radiotherapy. This literature review will explain the pathophysiology, etiology, diagnosis and management of SVCS with the aim of providing timely and effective intervention to treat the causes of this syndrome so that it can significantly relieve symptoms and improve the quality of life of patients with SVCS.

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Section: Patofisiologi Dan Etiologi Sindrom Vena Kava Superiorunclassified

Tinjauan Pustaka: Sindrom Vena Kava Superior

Putri,

Adrianison,

Munir

2024

JIK

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Transcatheter stenting of superior vena cava to treat postoperative SVC syndrome in a child: a case report

Laha,

Gangopadhyay,

Roy

et al. 2024

Egypt Heart J

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Background Superior vena cava (SVC) obstruction leading to SVC syndrome is an uncommon but potential complication of cardiac surgeries that involve dissection and anastomosis around the great vein. We present a case of iatrogenic SVC obstruction that was initially treated with transcatheter balloon angioplasty, which provided temporary relief, and ultimately resolved by stenting the affected segment. Case presentation The index case underwent total anomalous pulmonary venous connection (TAPVC) repair and presented 3 months after surgery with features of SVC obstruction. Initially, transcatheter balloon angioplasty was performed, providing relief from the obstruction; however, the condition recurred within one month. Finally, the patient was treated with percutaneous stenting of superior vena cava, through femoral venous route, using 8 mm × 30 mm balloon-expandable bare metal stent (Formula 418, Cook Medical, Bloomington, IN). Remarkable relief of obstruction was established with decrease in mean gradient across SVC–right atrium junction to 2 mm Hg (from 12 mm Hg before balloon angioplasty and 18 mm Hg before stenting). Conclusion Percutaneous treatment for iatrogenic SVC obstruction developing after cardiac surgery appears to be effective. Close monitoring is required in the postoperative period for early diagnosis and timely intervention.

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Superior vena cava syndrome after cardiac surgery

Cited by 2 publications

References 0 publications

Tinjauan Pustaka: Sindrom Vena Kava Superior

Tinjauan Pustaka: Sindrom Vena Kava Superior

Transcatheter stenting of superior vena cava to treat postoperative SVC syndrome in a child: a case report

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