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 |
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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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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.</description><identifier>ISSN: 0890-5096</identifier><identifier>EISSN: 1615-5947</identifier><identifier>DOI: 10.1016/j.avsg.2014.03.004</identifier><identifier>PMID: 24632317</identifier><language>eng</language><publisher>Netherlands: Elsevier Inc</publisher><subject>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</subject><ispartof>Annals of vascular surgery, 2014-10, Vol.28 (7), p.1791.e13-1791.e16</ispartof><rights>Elsevier Inc.</rights><rights>2014 Elsevier Inc.</rights><rights>Copyright © 2014 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c432t-12eefd6fb9ef1786be8877313c72910bc4605cff0f094077902d0b1c7ac3f6dc3</cites><orcidid>0000-0003-1993-894X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.avsg.2014.03.004$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24632317$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ahn, Kun Tae</creatorcontrib><creatorcontrib>Murakami, Takashi</creatorcontrib><creatorcontrib>Kotani, Mitsuhisa</creatorcontrib><creatorcontrib>Kato, Yuji</creatorcontrib><creatorcontrib>Toyama, Masaaki</creatorcontrib><title>A Case of Superior Vena Cava Syndrome Caused by a Ruptured Brachiocephalic Artery Aneurysm</title><title>Annals of vascular surgery</title><addtitle>Ann Vasc Surg</addtitle><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.</description><subject>Aged, 80 and over</subject><subject>Aneurysm, Ruptured - complications</subject><subject>Aneurysm, Ruptured - diagnostic imaging</subject><subject>Aneurysm, Ruptured - surgery</subject><subject>Blood Vessel Prosthesis</subject><subject>Blood Vessel Prosthesis Implantation - methods</subject><subject>Brachiocephalic Trunk</subject><subject>Humans</subject><subject>Male</subject><subject>Stents</subject><subject>Superior Vena Cava Syndrome - diagnostic imaging</subject><subject>Superior Vena Cava Syndrome - etiology</subject><subject>Superior Vena Cava Syndrome - surgery</subject><subject>Surgery</subject><subject>Tomography, X-Ray Computed</subject><issn>0890-5096</issn><issn>1615-5947</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUuL1EAUhQtRnHb0D7iQWrpJvPXIC0RoG18wINjqwk1Rqdxyqk1SmaqkIf_eCj26cOHqci_nHLjfIeQ5g5wBK1-dcn2OP3MOTOYgcgD5gOxYyYqsaGT1kOygbiAroCmvyJMYTwCM17J-TK64LAUXrNqRH3t60BGpt_S4TBicD_Q7jjpdz5oe17ELfsC0LRE72q5U0y_LNC8hbW-DNrfOG5xude8M3YcZw0r3Iy5hjcNT8sjqPuKz-3lNvr1_9_XwMbv5_OHTYX-TGSn4nDGOaLvStg1aVtVli3VdVYIJU_GGQWtkCYWxFiw0EqqqAd5By0yljbBlZ8Q1eXnJnYK_WzDOanDRYN_rEf0SFStKLgWTBU9SfpGa4GMMaNUU3KDDqhiojak6qY2p2pgqECoxTaYX9_lLO2D31_IHYhK8vggwfXl2GFQ0DkeDnQtoZtV59__8N__YTe9GZ3T_C1eMJ7-EMfFTTEWuQB23VrdSmUyFFkyK33TanCI</recordid><startdate>20141001</startdate><enddate>20141001</enddate><creator>Ahn, Kun Tae</creator><creator>Murakami, Takashi</creator><creator>Kotani, Mitsuhisa</creator><creator>Kato, Yuji</creator><creator>Toyama, Masaaki</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-1993-894X</orcidid></search><sort><creationdate>20141001</creationdate><title>A Case of Superior Vena Cava Syndrome Caused by a Ruptured Brachiocephalic Artery Aneurysm</title><author>Ahn, Kun Tae ; Murakami, Takashi ; Kotani, Mitsuhisa ; Kato, Yuji ; Toyama, Masaaki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c432t-12eefd6fb9ef1786be8877313c72910bc4605cff0f094077902d0b1c7ac3f6dc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Aged, 80 and over</topic><topic>Aneurysm, Ruptured - complications</topic><topic>Aneurysm, Ruptured - diagnostic imaging</topic><topic>Aneurysm, Ruptured - surgery</topic><topic>Blood Vessel Prosthesis</topic><topic>Blood Vessel Prosthesis Implantation - methods</topic><topic>Brachiocephalic Trunk</topic><topic>Humans</topic><topic>Male</topic><topic>Stents</topic><topic>Superior Vena Cava Syndrome - diagnostic imaging</topic><topic>Superior Vena Cava Syndrome - etiology</topic><topic>Superior Vena Cava Syndrome - surgery</topic><topic>Surgery</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ahn, Kun Tae</creatorcontrib><creatorcontrib>Murakami, Takashi</creatorcontrib><creatorcontrib>Kotani, Mitsuhisa</creatorcontrib><creatorcontrib>Kato, Yuji</creatorcontrib><creatorcontrib>Toyama, Masaaki</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Annals of vascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ahn, Kun Tae</au><au>Murakami, Takashi</au><au>Kotani, Mitsuhisa</au><au>Kato, Yuji</au><au>Toyama, Masaaki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Case of Superior Vena Cava Syndrome Caused by a Ruptured Brachiocephalic Artery Aneurysm</atitle><jtitle>Annals of vascular surgery</jtitle><addtitle>Ann Vasc Surg</addtitle><date>2014-10-01</date><risdate>2014</risdate><volume>28</volume><issue>7</issue><spage>1791.e13</spage><epage>1791.e16</epage><pages>1791.e13-1791.e16</pages><issn>0890-5096</issn><eissn>1615-5947</eissn><abstract>An 84-year-old man was transferred to the emergency department for the treatment of shock. 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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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