Isolated central venous pressure elevation caused by hematoma formation compressing the superior vena cava following a Bentall operation: a case report.
10.4097/kjae.2014.66.1.71
- Author:
Young SONG
1
;
Jeesuk SIM
;
Sai Ju SEO
;
Seong Ah CHOI
;
Jae Kwang SHIM
Author Information
1. Department of Anesthesiology and Pain Medicine, Anesthesia and Pain Research Institute, Yonsei University College of Medicine, Seoul, Korea. aneshim@yuhs.ac
- Publication Type:Case Report
- Keywords:
Cardiac surgical procedures;
Central venous pressure;
Hematoma;
Transesophageal echocardiography
- MeSH:
Cardiac Surgical Procedures;
Central Venous Pressure*;
Diagnosis, Differential;
Echocardiography, Transesophageal;
Hematoma*;
Hemodynamics;
Humans;
Laryngeal Edema;
Postoperative Period;
Superior Vena Cava Syndrome;
Thoracic Surgery;
Vena Cava, Superior*;
Ventricular Dysfunction, Right
- From:Korean Journal of Anesthesiology
2014;66(1):71-74
- CountryRepublic of Korea
- Language:English
-
Abstract:
We present a case of a patient exhibiting isolated elevation of the central venous pressure with minimal hemodynamic deterioration in an immediate postoperative period after Bentall operation requiring re-exploration. Isolated elevation of the central venous pressure usually alerts physicians of a volume overload or right ventricular dysfunction. However, even in the absence of significant hemodynamic deterioration, the development of loculated hematoma that compresses the superior vena cava should be ruled out, as it can be life-threatening through the formation of cerebral and laryngeal edema, similar to superior vena cava syndrome. This case emphasizes the importance of a prompt differential diagnosis of the isolated central venous pressure elevation after cardiac surgery with transesophageal echocardiography for the administration of appropriate treatment.
