Superior Vena Cava Syndrome Caused by Encircling Soft Tissue.
10.3904/kjim.2007.22.2.118
- Author:
Dae Hyeok KIM
1
;
Yong Sun JEON
;
Gi Chang KIM
;
In Sun AHN
;
Jun KWAN
;
Keum Soo PARK
;
Woo Hyung LEE
Author Information
1. Department of Internal Medicine, College of Medicine Inha University, Incheon, Korea. kdhmd@korea.com, kdhmd@inha.ac.kr
- Publication Type:Case Report
- Keywords:
Superior vena cava syndrome;
Stent
- MeSH:
Adult;
Fibrinolytic Agents/therapeutic use;
Humans;
Male;
*Stents;
Superior Vena Cava Syndrome/*diagnosis/etiology/surgery
- From:The Korean Journal of Internal Medicine
2007;22(2):118-121
- CountryRepublic of Korea
- Language:English
-
Abstract:
Superior vena cava syndrome can occur from benign conditions that might not alter life expectancy. Here we present a case of a superior vena cava (SVC) obstruction caused by soft tissue encircling the SVC, which was strongly suspected of being an unusual focal type of fibrosing mediastinitis. A 39-year-old man with no prior medical history presented with a four-week history of facial plethora, headache and dilated veins of the neck with a dark purple color change on the anterior chest wall. Radiology examinations, including venography, and computed tomography with a 3-dimensional volume-rendering image of the chest, had revealed severe narrowing of the SVC due to tiny encircling soft tissue and collateral vessels. A total occlusion of the SVC occurred as a result of a thrombus that developed within 1 day after the diagnostic SVC angiogram. The patient underwent stent deployment three days after the administration of thrombolytic therapy.
