Iatrogenic superior vena cava syndrome with concomitant deep vein thrombosis of azygos and hemiazygos veins
| Autor: | Fiore De Simone, Ornella Picascia, Giovanni Ferrandino, Andrea Camocardi, Ines Marano, Giuseppe Sarti, Valeria Fiorini, Marco Scognamiglio, Stefania Tamburrini, Ida Pelella, Nicola Rosano, Giuseppe Vitale, Pasquale Quassone |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Deep vein R895-920 Case Report Azygos vein thrombosis Intracardiac injection 030218 nuclear medicine & medical imaging Medical physics. Medical radiology. Nuclear medicine 03 medical and health sciences 0302 clinical medicine Superior vena cava Deep vein thrombosis medicine Radiology Nuclear Medicine and imaging cardiovascular diseases Thrombus Computed tomography angiography Central line Superior vena cava syndrome medicine.diagnostic_test business.industry medicine.disease Thrombosis medicine.anatomical_structure Permanent vascular catheter Hemodialysis cardiovascular system Radiology medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | Radiology Case Reports, Vol 16, Iss 7, Pp 1895-1898 (2021) Radiology Case Reports |
| ISSN: | 1930-0433 |
| Popis: | Iatrogenic superior vena cava syndrome (SVCs) represents an emergent diagnostic entity and its correlation with deep vein thrombosis is extremely rare. Recently, the increased use of indwelling lines, pacemakers and intracardiac devices has led to more cases of SVC syndrome also associated with a higher frequency of DVT. We report an unusual complication in a 74-year-old female, who has been undergoing hemodialysis via CVC for 14 years, who referred at our Emergency Department complaining of shortness of breath, headache, face and neck swelling. She underwent chest Computed Tomography Angiography (CTA), that showed a thrombus extending from the superior vena cava to the azygos and hemiazygos veins. Acute SVCs should be suspected in emergency settings in symptomatic patients with indwelling central lines, catheters and pacemakers. CTA represents an accurate and quick imaging modality for the diagnosis and the assessment of the extension of the thrombus. |
| Databáze: | OpenAIRE |
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