Superior Vena Cava Syndrome: The Myth — the Facts

Yellin, Alon; Rosen, Ada; Reichert, Nira; Lieberman, Y

doi:10.1164/ajrccm/141.5_pt_1.1114

Cited by 161 publications

(81 citation statements)

References 7 publications

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“…However, we had one patient with diffuse bilateral adenocarcinoma and another in whom the primary growth was in the left lower lobe. The incidence of malignant thymoma in the present series is higher than in other series [5][6] but the explanation is not clear.…”

Section: Discussioncontrasting

confidence: 88%

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A Study of Superior Vena Cava Obstruction Syndrome

Rosha

Dandona

1997

Medical Journal Armed Forces India

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Superior vena cava obstruction syndrome was studied in 22 patients with a view to assess the etiological pattern and clinical profile. It was found that 4 patients (18.1%) had benign disease and the remaining 18 (81.9%) patients had malignancy. In 13 patients (59.9°"') obstruction occurred due to bronchogenic carinoma. No complications occurred with invasive diagnostic procedures. All heavy smokers (S9.9-V.) were found to have malignancy. Normal lung fields on chest radiography and CT scan with superior vena obstruction syndrome suggested benign disease in 2 cases.

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Section: Discussioncontrasting

confidence: 88%

“…This finding is similar to that reported earlier. Yellin [5] whereas Tayade et al reported that 89 per cent of cases were due to malignancy [6]. The commonest malignancy seen was bronchogenic carcinoma usually on the right side.…”

Section: Discussionmentioning

confidence: 99%

A Study of Superior Vena Cava Obstruction Syndrome

Rosha

Dandona

1997

Medical Journal Armed Forces India

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“…More than 80% of the cases result from malignant mediastinal tumors. In 75 -80% of cases, the underlying disease is bronchogenic carcinoma that is usually of small cell carcinoma type (2). A non-malignant cause of this syndrome can be the thrombosis resulting from intracaval catheters of pacemaker wire (3).…”

Section: Discussionmentioning

confidence: 99%

Anesthetic Management in a Patient With Type A Aortic Dissection and Superior Vena Cava Syndrome

Totonchi¹,

Givtaj²,

Sakhaei³

et al. 2015

Res Cardiovasc Med

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Introduction: Induction of general anesthesia in patients with superior vena cava (SVC) syndrome may cause airway obstruction and cardiovascular collapse. Case Presentation: Herein, we introduced a patient with the diagnosis of dissecting aneurysm of the ascending aorta who was candidate for emergency surgery. He also had symptoms of SVC syndrome. To maintain airway patency during anesthetic management, we decided to perform femoro-femoral cardiopulmonary bypass followed by general anesthesia and tracheal intubation. Conclusions: Femoro-femoral bypass prior to initiation of sternotomy is a safe and easy method in patients with aortic dissection and SVC syndrome in whom earlier endotracheal intubation may not be feasible.

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“…El SVCS es considerado por algunos grupos de trabajo como una verdadera emergencia 1,2 y otros lo consideran solo si presenta compromiso de la vía aérea superior o del sistema nervioso central, [3][4][5] pero en lo que sí coinciden es en que el diagnóstico etiológico es necesario para la toma de decisiones.…”

Section: Discussionunclassified

Recaída extramedular de leucemia linfocítica aguda. Reporte de un caso

et al. 2014

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RESUMENEl síndrome de vena cava superior (SVCS), considerado una emergencia, requiere tratamiento inmediato, por lo que el diagnóstico etiológico es esencial antes de decidir una conducta terapéutica. El manejo del SVCS consiste en el alivio de los síntomas y de la enfermedad subyacente. Los tratamientos tienen el objetivo de restituir el flujo sanguíneo. Se presenta un paciente de 5 años de edad, masculino, con antecedente de LLA tipo B. Su estado oncohematológico era remisión total y, en febrero de 2013, consultó por síndrome de dificultad respiratoria (SDR) de rápida evolución y edema facial, que progresó en 24 h. Se realizó angio TC de tórax y vasos de cuello, que evidenció tejido pseudonodular que comprime VCS. Se realiza biopsia endocavitaria de urgencia, que informa infiltración difusa linfroproliferativa. Tratamiento quimioterápico, con buena evolución y egreso hospitalario. El SVCS es una emergencia oncológica que requiere diagnós-tico oportuno y tratamiento inmediato a fin de mejorar los resultados. Palabras clave: emergencia oncológica, síndrome de vena cava superior. ABSTRACTThe superior vena cava syndrome (SVCS) is considered an emergency and requires immediate treatment; therefore, the etiologic diagnosis is essential before deciding on its implementation. The management of SVCS consists on the relief of symptoms and treatment of the underlying disease, aiming to restore the blood flow. We present a 5 years old boy with a history of B-cell ALL. His oncologic state was that of complete remission. In February 2013 he consulted for respiratory distress syndrome (RDS) of rapid evolution, and facial edema which progressed within 24 hours. CT INTRODUCCIÓNLas emergencias oncológicas son asociadas con significativa morbimortalidad y el retraso en su diagnóstico y tratamiento lleva a evoluciones desfavorables. El SVCS es descrito dentro de las urgencias cardiotorácicas mecánicas y es el conjunto de signos y síntomas asociados a la compresión extrínseca u obstrucción de la vena cava superior (VCS). Aparece en un 12% de los pacientes pediátricos con tumores malignos mediastínicos. 1Fue descrito por primera vez por Wiliam Hunter en 1757, secundario a una aortitis sifilítica; sin embargo, en la actualidad, el SVCS se debe a procesos malignos en su mayoría y no inflamatorios.2 Las enfermedades oncohematológicas que con mayor frecuencia lo presentan son el linfoma no Hodgkin; el 70% debuta con masas mediastínicas y con manifestaciones de síndrome de vena cava superior 3-4%, y la leucemia linfoblástica aguda. 1Sin embargo, hay aumento de la prevalencia de trombosis vascular, secundaria al uso de dispositivos endovasculares, tales como marcapasos, catéteres implantales, etc., que representan un porcentaje importante. 2En su estructura, la vena cava superior presenta paredes finas, con diámetro y longitud que varían según la edad, circunscritas por la pared torácica y las estructuras mediastínicas, por lo que cualquiera de ellas puede obstruir el flujo. Si la obstrucción es en forma aguda o progresiva, la resulta...

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Superior Vena Cava Syndrome: The Myth — the Facts

Cited by 161 publications

References 7 publications

A Study of Superior Vena Cava Obstruction Syndrome

A Study of Superior Vena Cava Obstruction Syndrome

Anesthetic Management in a Patient With Type A Aortic Dissection and Superior Vena Cava Syndrome

Recaída extramedular de leucemia linfocítica aguda. Reporte de un caso

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