Superior Vena Cava Syndrome

Pictures

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The superior vena cava syndrome is the group of symptoms that result from compression of the large vein superior vena cava that transmits blood to the heart See picture and picture Lung cancer is the usual cause go here A recent review of tratment is here

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The superior vena cava is the venous trunk which returns blood from the head neck upper extremities and chest This photograph shows superior vena cava syndrome which is obstruction

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the catheter In one however we chose to preserve the catheter and were able to reposition it within the stented segment Figs 4 6 so further chemotherapy could be administered Figure 4 Superior vena cava syndrome and its treatment in a middle aged woman with an indwelling port access catheter who had received chemotherapy for breast cancer In this case the

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over in the superior vena cava From below a large self expanding nitinol stent B was positioned in the area of residual stenosis deployed and postdilated with a 14 mm balloon C Figure 6 Final result from stent placement In A an injection into the superior vena cava shows free flow of contrast into the right atrium via the stented segment delineated by the

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crossed the midline and drained into a pulmonary varix prior to draining anomalously into the right superior vena cava This patient also had heterotaxy syndrome with a common atrium B Lateral radiograph demonstrates the varix end on with an ascending vertical vein draining into the right superior vena cava

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that result from compression of the large vein superior vena cava that transmits blood to the heart See picture and picture Lung cancer is the usual cause go here A recent review of tratment is here

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Lung Carcinoma Superior Vena Cava SVC Syndrome

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B Lateral radiograph demonstrates the varix end on with an ascending vertical vein draining into the right superior vena cava

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Figure 2 A series of venograms showing the patient s superior vena cava

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Lung Carcinoma Superior Vena Cava SVC Syndrome This is a 49 y o female who was recently diagnosed with small cell lung CA The patient was scheduled to begin receiving chemotherapy but presented to the ER with a fever cough clear

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anatomy X rays images another CT of SVCO large CT more images here

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here typical CT for small cell with SVCO typical chest X ray information from the NCI

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Clinical Question 1 What are the long term results for the various therapeutic interventions for SVC syndrome

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8 Surgery Severe SVC Syndrome associated with thrombosis of caval tributaries and inadequate collateral circulation SVC bypass with composite autogenous vein grafts or PTFE 6 12 months after onset in benign causes or for palliation in malignant causes with severe or acute onset SVC syndrome

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