Surgical Treatment of Superior Vena Cava Syndrome Caused by Hemodialysis Catheter: Report of 2 cases.
- Author:
Yang Hyun CHO
1
;
Young Sang SOHN
;
Se Min RYU
;
Hyun Koo KIM
;
Jae Hoon SIM
;
Hark Jei KIM
;
Young Ho CHOI
Author Information
1. Department of Thoracic and Cardiovascular Surgery, College of Medicine, Korea University, Korea. sohnys@korea.ac.kr
- Publication Type:Case Report
- Keywords:
Superior vena cava syndrome;
Venous disease;
Hemodialysis
- MeSH:
Brachiocephalic Veins;
Cardiopulmonary Bypass;
Catheters*;
Dialysis;
Drug Therapy;
Heart Atria;
Humans;
Pericardium;
Polytetrafluoroethylene;
Pulmonary Embolism;
Renal Dialysis*;
Superior Vena Cava Syndrome*;
Veins;
Vena Cava, Superior*
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2005;38(1):67-71
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The major etiology of superior vena cava (SVC) syndrome is malignancy. Radiologic endovascular intervention is the treatment of choice for patients with SVC syndrome due to malignant disease, which is unresponsive to radiation therapy and chemotherapy. However, it is not clear whether endovascular intervention can replace open surgery as the primary method of management of benign SVC syndrome. We report two cases of benign SVC syndrome resulting from dialysis catheters placed in the central veins. One patient underwent bypass surgery between innominate vein and right atrium by expanded polytetrafluoroethylene. Another patient had large thrombi in SVC and other central veins. We removed them under cardiopulmonary bypass to prevent pulmonary embolism, and SVC was repaired and augmented by autologous pericardium. Prompt symptomatic relief and angiographic improvements of collateral flow were achieved in both patients.