Publication Date

12-1-2016

Journal

The Texas Heart Journal

DOI

10.14503/THIJ-15-5479

PMID

28100973

Publication Date(s)

December 2016

Language

English

PMCID

PMC5179159

PubMedCentral® Posted Date

12-1-2016

PubMedCentral® Full Text Version

Post-Print

Published Open-Access

yes

Keywords

Angioplasty, balloon/methods; blood vessel prosthesis implantation/instrumentation; pacemaker, artificial/adverse effects; stents; superior vena cava syndrome/etiology/therapy; treatment outcome; vena cava, superior/pathology

Abstract

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. We present a case of superior vena cava syndrome in a symptomatic 30-year-old woman who obtained complete relief of obstruction and marked symptomatic improvement through venoplasty and stenting, aided by our use of a balloon-in-balloon catheter system.

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