• J Clin Anesth · Dec 2016

    Review Case Reports

    Acute, unanticipated, and prolonged superior vena cava occlusion during pneumonectomy.

    • Mark S Goh and Vivek Chellappa.
    • Dept of Anesthesiology, Olive View-UCLA Medical Center, 14445 Olive View Drive, Sylmar, CA 91342; Dept of Anesthesiology and Perioperative Medicine, David Geffen School of Medicine at UCLA, 757 Westwood Plaza, Los Angeles, CA 90095. Electronic address: mgoh2@dhs.lacounty.gov.
    • J Clin Anesth. 2016 Dec 1; 35: 78-84.

    AbstractAcute, unanticipated superior vena cava (SVC) occlusion during thoracic surgery can have profound hemodynamic consequences and lead to devastating neurologic injury. We describe the successful anesthetic management of a pneumonectomy complicated by prolonged intraoperative SVC occlusion lasting a total of 290 minutes. To our knowledge, this represents the longest reported SVC occlusion time with no subsequent neurologic sequelae. Based on our favorable outcome and a review of the relevant literature, we offer a discussion of strategies for anesthetic management.Copyright © 2016 Elsevier Inc. All rights reserved.

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