Superior vena cava rupture during balloon angioplasty and stent placement to relieve superior vena cava syndrome: a case report

Percutaneous stenting of the superior vena cava (SVC) has been an accepted therapy for SVC syndrome for more than a decade. Complications are uncommon and usually of minor consequence. Three previous reports have described ruptures of the SVC during venoplasty with death on one occasion. We report a...

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Veröffentlicht in:	The Heart surgery forum 2007, Vol.10 (1), p.E78-E80
Hauptverfasser:	Samuels, Louis E, Nyzio, Joseph B, Entwistle, John W C
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Angioplasty, Balloon - adverse effects Blood Vessel Prosthesis - adverse effects Female Heart Injuries - diagnosis Heart Injuries - etiology Heart Injuries - surgery Humans Stents - adverse effects Superior Vena Cava Syndrome - complications Superior Vena Cava Syndrome - surgery Vena Cava, Superior - injuries Vena Cava, Superior - surgery
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description	Percutaneous stenting of the superior vena cava (SVC) has been an accepted therapy for SVC syndrome for more than a decade. Complications are uncommon and usually of minor consequence. Three previous reports have described ruptures of the SVC during venoplasty with death on one occasion. We report a fourth case of SVC rupture during angioplasty and stenting that required immediate pericardiocentesis followed by open surgical repair via sternotomy for direct control and repair. An algorithm for rapid recognition and prompt intervention is described.
doi_str_mv	10.1532/HSF98.20061117
format	Article
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subjects	Adult Angioplasty, Balloon - adverse effects Blood Vessel Prosthesis - adverse effects Female Heart Injuries - diagnosis Heart Injuries - etiology Heart Injuries - surgery Humans Stents - adverse effects Superior Vena Cava Syndrome - complications Superior Vena Cava Syndrome - surgery Vena Cava, Superior - injuries Vena Cava, Superior - surgery
title	Superior vena cava rupture during balloon angioplasty and stent placement to relieve superior vena cava syndrome: a case report
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