A Case of Superior Vena Cava Syndrome Caused by a Ruptured Brachiocephalic Artery Aneurysm

An 84-year-old man was transferred to the emergency department for the treatment of shock. His upper body was swollen. Hematoma from the ruptured brachiocephalic artery aneurysm was compressing and obstructing the superior vena cava (SVC). A stent graft was deployed from the brachiocephalic artery t...

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Veröffentlicht in:Annals of vascular surgery 2014-10, Vol.28 (7), p.1791.e13-1791.e16
Hauptverfasser: Ahn, Kun Tae, Murakami, Takashi, Kotani, Mitsuhisa, Kato, Yuji, Toyama, Masaaki
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container_end_page 1791.e16
container_issue 7
container_start_page 1791.e13
container_title Annals of vascular surgery
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creator Ahn, Kun Tae
Murakami, Takashi
Kotani, Mitsuhisa
Kato, Yuji
Toyama, Masaaki
description An 84-year-old man was transferred to the emergency department for the treatment of shock. His upper body was swollen. Hematoma from the ruptured brachiocephalic artery aneurysm was compressing and obstructing the superior vena cava (SVC). A stent graft was deployed from the brachiocephalic artery to the right common carotid artery, and the proximal right subclavian artery was coil embolized. On postoperative day 5, when his neck swelling subsided and tracheal stenosis seemed resolved, the patient was extubated and the subsequent recovery was uneventful. He was discharged from the hospital on postoperative day 24. Although the stent grafting does not directly decompress the SVC by removing aneurysm and hematoma, it seems to be the treatment option for the morbid patients.
doi_str_mv 10.1016/j.avsg.2014.03.004
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subjects Aged, 80 and over
Aneurysm, Ruptured - complications
Aneurysm, Ruptured - diagnostic imaging
Aneurysm, Ruptured - surgery
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation - methods
Brachiocephalic Trunk
Humans
Male
Stents
Superior Vena Cava Syndrome - diagnostic imaging
Superior Vena Cava Syndrome - etiology
Superior Vena Cava Syndrome - surgery
Surgery
Tomography, X-Ray Computed
title A Case of Superior Vena Cava Syndrome Caused by a Ruptured Brachiocephalic Artery Aneurysm
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