Nature clinical practice. Cardiovascular medicine · 2007
Superior vena cava syndrome: an increasingly frequent complication of cardiac procedures.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Chee Cheng E, Bjarnason Haraldur, Prasad Abhiram
Аннотация
BACKGROUND: A 29-year-old woman presented with chest pressure, progressive dyspnea, fatigue, and swelling of her face, neck and upper extremities. Four days earlier, she had undergone a procedure for treatment of inappropriate sinus tachycardia, during which atrioventricular node ablation and implantation of a single-lead VVI pacemaker had been performed following an unsuccessful attempt at sinus node modification.
INVESTIGATIONS: Physical examination, contrast-enhanced CT of the chest, Doppler ultrasonography of the upper extremities, venography, coagulation studies, echocardiography.
DIAGNOSIS: Superior vena cava syndrome due to thrombotic obstruction-a complication of a cardiac procedure.
MANAGEMENT: Anticoagulation, catheter-directed thrombolytic therapy, mechanical thrombectomy, pericardiocentesis.
INVESTIGATIONS: Physical examination, contrast-enhanced CT of the chest, Doppler ultrasonography of the upper extremities, venography, coagulation studies, echocardiography.
DIAGNOSIS: Superior vena cava syndrome due to thrombotic obstruction-a complication of a cardiac procedure.
MANAGEMENT: Anticoagulation, catheter-directed thrombolytic therapy, mechanical thrombectomy, pericardiocentesis.
Предметные рубрики MeSH
AdultCatheter AblationCombined Modality TherapyEchocardiography, DopplerFemaleFollow-Up StudiesHumansPacemaker, ArtificialPericardiocentesisPhlebographyRisk AssessmentSeverity of Illness IndexSuperior Vena Cava SyndromeTachycardia, SinusThrombectomyThrombolytic TherapyTomography, X-Ray ComputedTreatment OutcomeVascular Patency