Unusual Cause of Acute Right Ventricular Dysfunction: Rapid Progression of Superior Vena Cava Aneurysm Complicated by Thrombosis and Pulmonary Thromboembolism.
10.3346/jkms.2011.26.5.690
- Author:
Sang Gi OH
1
;
Kye Hun KIM
;
Hyun Ju SEON
;
Hyun Ju YOON
;
Youngkeun AHN
;
Myung Ho JEONG
;
Jeong Gwan CHO
;
Jong Chun PARK
;
Jung Chaee KANG
Author Information
1. Department of Cardiothoracic Surgery, Chonnam National University Hospital, Gwangju, Korea.
- Publication Type:Case Report
- Keywords:
Aneurysm;
Vena Cava, Superior;
Pulmonary Embolism
- MeSH:
Abdominal Pain;
Amyloidosis/complications/*pathology;
Biopsy;
Diagnosis, Differential;
Endoscopy;
Humans;
Inflammatory Bowel Diseases/diagnosis;
Intestine, Small/*pathology;
Lymphoma, B-Cell, Marginal Zone/complications/*pathology;
Male;
Middle Aged
- From:Journal of Korean Medical Science
2011;26(5):690-693
- CountryRepublic of Korea
- Language:English
-
Abstract:
Aneurysms of the major thoracic veins are rare. They are usually asymptomatic and thus treated conservatively. We report an extremely rare case of rapidly progressing superior vena cava (SVC) aneurysm complicated by thrombosis and acute pulmonary thromboembolism (PTE) with right ventricular dysfunction. Thrombolytic therapy for hemodynamically significant acute PTE was harmful to the patient in the present case, because it induced further thrombosis and mobilization of the thrombi within the aneurysm, subsequently causing de novo PTE. Surgical aneurysmectomy combined with pulmonary artery embolectomy would be a treatment of choice in patients with SVC aneurysm complicated by acute PTE.
