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Open Access Content loaded within last 14 days Superior Vena Cava Occlusion as a Complication of Transvenous Cardiac Device Implantation: A Case Report and Brief Review

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This article is Open Access under the terms of the Creative Commons CC BY-NC licence.

Superior vena cava (SVC) syndrome is a rare complication of transvenous cardiac device implantation, which may lead to delay of diagnosis when symptoms appear. A 68 year-old male with a dual chamber implantable defibrillator implanted 10 years prior presented to an emergency department with symptoms of facial swelling, frequent headaches, and early morning purple facial discoloration. At UF Health, he underwent computed tomographic (CT) scanning of the chest which was consistent with SVC syndrome, presumably a complication related to the prior implantation of his cardiac device. Despite the imaging findings, venography remains the diagnostic modality of choice. Heparinization, catheter-based venography, and catheter thrombectomy with serial balloon angioplasty were performed for recanalization of the SVC, and the patient was ultimately discharged asymptomatic on apixaban for anticoagulation. However, symptoms recurred within two weeks. Ultimately, the patient underwent surgical right internal jugular vein to right atrial bypass with resolution of symptoms. A post-operative CT venogram was performed and the anastomosis was successful. Apparently an angiogram was not done at one year.
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Keywords: SVC occlusion; Tranvenious atrial pacemaker; bypass; thrombectomy

Document Type: Research Article

Publication date: July 1, 2019

This article was made available online on April 26, 2019 as a Fast Track article with title: "Superior Vena Cava Occlusion as a Complication of Transvenous Cardiac Device Implantation: A Case Report and Brief Review".

More about this publication?
  • Cardiovascular Innovations and Applications (CVIA) publishes focused articles and original clinical research that explore novel developments in cardiovascular disease, effective control and rehabilitation in cardiovascular disease, and promote cardiovascular innovations and applications for the betterment of public health globally. The journal publishes basic research that has clinical applicability in order to promote timely communication of the latest insights relating to coronary artery disease, heart failure, hypertension, cardiac arrhythmia, prevention of cardiovascular disease with a heavy emphasis on risk factor modification. Cardiovascular Innovations and Applications is the official journal of the Great Wall International Congress of Cardiology (GW-ICC). It aims to continue the work of the GW-ICC by providing a global scientific communication platform for cardiologists that bridges East and West.

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