Unusual collateral vessel from right subclavian vein to left atrium, a rare complication of superior vena cava obstruction

2018 ◽  
Vol 35 (8) ◽  
pp. 1233-1236
Author(s):  
Mozhgan Parsaee ◽  
Hamidreza Pouraliakbar ◽  
Behshid Ghadrdoost ◽  
Jamal Moosavi ◽  
Mohaddeseh Behjati
Keyword(s):  
Left Atrium ◽  
Superior Vena Cava ◽  
Subclavian Vein ◽  
Rare Complication ◽  
Superior Vena ◽  
Vena Cava ◽  
Superior Vena Cava Obstruction ◽  
Collateral Vessel

scholarly journals Cardiac herniation presenting as superior vena cava obstruction syndrome after intrapericardial pnemonectomy for locally advanced lung cancer---case report

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Gengxu He ◽  
Tong Yao ◽  
Lei Zhao ◽  
Hong Geng ◽  
Qiang Ji ◽  
...  
Keyword(s):  
Superior Vena Cava ◽  
Thrombus Formation ◽  
Rare Complication ◽  
Superior Vena ◽  
Locally Advanced ◽  
Vena Cava ◽  
Advanced Lung Cancer ◽  
Cancer Case ◽  
Superior Vena Cava Obstruction ◽  
Cardiac Herniation

Abstract Introduction Cardiac herniation is a rare complication after pulmonary surgery, and there are only a few reports about it. We now report a case of cardiac herniation presenting as superior vena cava obstruction after pneumonectomy. Case presentation A-52-years old woman diagnosed right pulmonary squamous cell carcinoma was carried out right pneumonectomy, the pulmonary artery and right superior pulmonary vein were dissected and ligated intrapericardial. The patient developed tachycardia arrhythmias, hypotension, followed by loss of consciousness at about 18 h after operation. After resuscitation, the patient was conscious but developed cyanosis of the superior vena cava drainage area, uropenia, and hypotension (80/30 mmHg). Bedside-echocardiography showed that the SVC was obstructed due to thrombus formation. Chest radiography a shift of the heart into right hemithorax. Rethoracotomy was performed and the herniated heart was replaced into the pericardium, and the pericardium was repaired with Gore Tex patch. The patient recovered smoothly after the second surgery. Conclusion Cardiac herniation is a rare and fatally complication after thoracic surgery, and the prompt recognition with timely intervention is life-saving. Cardiac herniation is a rare but fatal complication of pneumonectomy. The increasing frequency of surgical resection for locally advanced thoracic carcinoma has led to a renewed emphasis regarding early diagnosis and treatment for cardiac herniation. Here we discuss a case of cardiac herniation presented with acute superior vena cava obstruction syndrome and hemodynamic instability after intrapericradial right pneumonectomy.

scholarly journals P649 Before and after: sinus venosus atrial septal defect

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
I Marco Clement ◽  
R Eiros ◽  
R Dalmau ◽  
T Lopez ◽  
G Guzman ◽  
...  
Keyword(s):  
Atrial Septal Defect ◽  
Left Atrium ◽  
Atrial Flutter ◽  
Superior Vena Cava ◽  
Right Atrium ◽  
Septal Defect ◽  
Superior Vena ◽  
Pulmonary Veins ◽  
Vena Cava ◽  
The Right

Abstract Introduction The diagnosis of sinus venosus atrial septal defect (SVASD) is complex and requires special imaging. Surgery is the conventional treatment; however, transcatheter repair may become an attractive option. Case report A 60 year-old woman was admitted to the cardiology department with several episodes of paroxysmal atrial flutter, atrial fibrillation and atrioventricular nodal reentrant tachycardia. She reported a 10-year history of occasional palpitations which had not been studied. A transthoracic echocardiography revealed severe right ventricle dilatation and moderate dysfunction. Right volume overload appeared to be secondary to a superior SVASD with partial anomalous pulmonary venous drainage. A transesophageal echocardiography confirmed the diagnosis revealing a large SVASD of 16x12 mm (Figure A) with left-right shunt (Qp/Qs 2,2) and two right pulmonary veins draining into the right superior vena cava. Additionally, it demonstrated coronary sinus dilatation secondary to persistent left superior vena cava. CMR and cardiac CT showed right superior and middle pulmonary veins draining into the right superior vena cava 18 mm above the septal defect (Figures B and C). After discussion in clinical session, a percutaneous approach was planned to correct the septal defect and anomalous pulmonary drainage. For this purpose, anatomical data obtained from CMR and CT was needed to plan the procedure. During the intervention two stents graft were deployed in the right superior vena cava. The distal stent was flared at the septal defect level so as to occlude it while redirecting the anomalous pulmonary venous flow to the left atrium (Figure D). Control CT confirmed the complete occlusion of the SVASD without residual communication from pulmonary veins to the right superior vena cava or the right atrium (Figure E). Anomalous right superior and middle pulmonary veins drained into the left atrium below the stents. Transthoracic echocardiographies showed progressive reduction of right atrium and ventricle dilatation. The patient also underwent successful ablation of atrial flutter and intranodal tachycardia. She is currently asymptomatic, without dyspnea or arrhythmic recurrences. Conclusions In this case, multimodality imaging played a key role in every stage of the clinical process. First, it provided the diagnosis and enabled an accurate understanding of the patient’s anatomy, particularly of the anomalous pulmonary venous connections. Secondly, it allowed a transcatheter approach by supplying essential information to guide the procedure. Finally, it assessed the effectiveness of the intervention and the improvement in cardiac hemodynamics during follow-up. Abstract P649 Figure.

Pacemaker Induced Superior Vena Cava Obstruction: Management by Spiral Vein Graft

1995 ◽  
Vol 18 (4) ◽  
pp. 739-742 ◽  
Author(s):  
J.A. ODELL ◽  
G.R. KEETON ◽  
R.N. SCOTT MILLAR ◽  
S.J. BENINGFIELD
Keyword(s):  
Superior Vena Cava ◽  
Vein Graft ◽  
Superior Vena ◽  
Vena Cava ◽  
Superior Vena Cava Obstruction ◽  
Spiral Vein Graft

Repair of Left Superior Vena Cava Entering the Left Atrium

1986 ◽  
Vol 42 (5) ◽  
pp. 560-564 ◽  
Author(s):  
Mark E. Sand ◽  
Lynn B. McGrath ◽  
Albert D. Pacifico ◽  
Nityanath V. Mandke
Keyword(s):  
Left Atrium ◽  
Superior Vena Cava ◽  
Superior Vena ◽  
Vena Cava ◽  
Left Superior Vena Cava
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