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
Copyright
This work is licensed under a Creative Commons Attribution-NonCommercial-No Derivative Works 4.0 International License.
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.