Superior vena cava syndrome for thrombosis the central venous catheter

Síndrome de vena cava superior por trombosis de catéter venoso central

Authors

DOI:

https://doi.org/10.25176/RFMH.v22i3.4323

Keywords:

superior vena cava syndrome, central cyanosis, thrombosis, central venous catheter, surgical thromboaspiration

Abstract

Superior vena cava syndrome is a rare entity. The neoplastic etiology is the most relevant, as well as that related to invasive procedures with central venous catheter.
A 32-year-old man consults the Emergency Department for sudden facial cyanosis, facial tightness, dry cough, odynophagia, dysphonia and vertigo without dyspnea. He presents colon neoplasia since 2019, with colostomy and left subclavian Port-catheter. At examination, facial and upper extremity edema, central cyanosis, multiple petechiae and nail bleeding on the hands. The angiotomography shows filling defect fort recent thrombosis in left internal jugular and brachiocephalic vein, right brachiocephalic vein, arch of the azygos vein and superior vena cava in its entire lumen.
The surgical mechanical thromboaspiration allowed resection of the thrombus and restitution of circulation, with relative safety and low mortality.

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Author Biographies

Marco A. Vergara Labrín, ´Clínica San Borja / Red Sanna

Área de Emergencia
Médico Cirujano

Miguel A. Guevara Cruz, Clínica San Borja / Red Sanna

Área Jefe de Emergencia
Médico Cirujano
Especialista en Medicina Interna

Hernán Aste Salazar, Clínica San Borja / Red Sanna

Departamento de Cirugía Tórax y Cardiovascular
Servicio de Cirugía Cardiovascular, Torácica y Endovascular
Médico cirujano
Cirujano Cardiovascular

Aurelio N. Delgado Salazar, Clínica San Borja / Red Sanna

Departamento de Cirugía Tórax y Cardiovascular
Servicio de Cirugía Cardiovascular, Torácica y Endovascular
Cirujano Cardiovascular y torácico
Master en Terapia Endovascular

Published

2022-07-09