• Pneumologie · Oct 2013

    Case Reports

    [Interventional treatment of the acute and subacute vena cava superior syndrome].

    • J-P Kühn, B Mensel, R Ewert, and T Bollmann.
    • Institut für Diagnostische Radiologie und Neuroradiologie, Ernst-Moritz-Arndt Universität Greifswald.
    • Pneumologie. 2013 Oct 1;67(10):573-9.

    BackgroundSuperior vena cava syndrome is defined as the lack of central venous inflow through the superior vena cava and can present a life-threatening situation. The acute situation is characterized by dyspnea and requires a fast and effective treatment.MethodsUsing two case reports, endovascular stent therapy for the treatment of acute and subacute superior vena cava syndrome is explained and discussed.ResultsIn the first case, we introduce a patient with acute dyspnea due to decompensation of a chronic thrombosis of the superior vena cava. The second case displayed the same acute symptoms consisting of acute dyspnea and upper venous congestion due to a tumor-related compression of the superior vena cava. In both cases, the acute situation of superior vena cava syndrome was successfully treated by stent implantation.ConclusionEndovascular treatment of superior vena cava syndrome is an effective option with a high technical success rate.© Georg Thieme Verlag KG Stuttgart · New York.

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