Superior vena cava syndrome and pulmonary artery stenosis in a patient with lung metastases of bladder cancer

VernacularTitle:膀胱癌肺转移致上腔静脉综合征合并肺动脉狭窄1例
Author: Jian-Ke LI ^{1
,

2} ; Ya-Nan GU ; Jun-Hao LI ; Liang-Wen WANG ; Ning-Zi TIAN ; Wei CHEN ; Xiao-Lin WANG ; Yi CHEN
Author Information

1. 上海市影像医学研究所上海 200032
2. 复旦大学附属中山医院介入治疗科上海 200032
Keywords: lung metastases,bladder cancer; superior vena cava syndrome(SVCS); pulmonary artery stenosis(PS); endovascular stent implanting
From: Fudan University Journal of Medical Sciences 2024;51(2):277-279,284
CountryChina
Language:Chinese
Abstract: Superior vena cava syndrome(SVCS)is a group of clinical syndromes caused by obstruction of the superior vena cava and its major branches from various causes.Pulmonary artery stenosis(PS)is a complication of lung cancer or mediastinal tumours.SVCS combined with PS due to pulmonary metastases from bladder cancer is extremely rare and has not been reported in the literature.Here we reported an old male patient with pulmonary metastases from bladder cancer presenting with swelling of the head,neck and both upper limbs.SVCS combined with PS was clarified by pulmonary artery computed tomography angiography(CTA)and digital subtraction angiography(DSA).Endovascular stenting was used to treat SVCS.Angiography also showed that PS had not caused pulmonary hypertension and did not need to be treated.The swelling of the patient's head,neck and upper limbs was gradually reduced after the procedure.