Superior Vena Cava Rupture during Balloon Angioplasty and Stent Placement to Relieve Superior Vena Cava Syndrome: A Case Report
DOI:
https://doi.org/10.1532/HSF98.20061117Abstract
Percutaneous stenting of the superior vena cava (SVC) has been an accepted therapy for SVC syndrome for more than a decade. Complications are uncommon and usually of minor consequence. Three previous reports have described ruptures of the SVC during venoplasty with death on one occasion. We report a fourth case of SVC rupture during angioplasty and stenting that required immediate pericardiocentesis followed by open surgical repair via sternotomy for direct control and repair. An algorithm for rapid recognition and prompt intervention is described.References
Brown KT, Getrajdman GI. 2005. Balloon dilation of the superior vena cava (SVC) resulting in SVC rupture and pericardial tamponade: a case report and brief review. Cardiovasc Intervent Radiol 28:372-6.nBurket MW. 2003. Superior vena cava rupture. Endovascular Today July/August:35-37.nHochrein J, Bashore TM, O'Laughlin MP, Harrison JK. 1998. Percutaneous stenting of superior vena cava syndrome: a case report and review of the literature. Am J Med 104:78-84.nKai H, Honma T, Imaizumi T. 2001. Superior vena cava syndrome caused by multiple pacing leads. Heart 86:80.nLeonelli FM, Pisano E, Requarth JA, et al. 2000. Frequency of superior vena cava syndrome following radiofrequency modification of the sinus node and its management. Am J Cardiol 85:771-4.nOshima K, Takahashi T, Ishikawa S, et al. 2006. Superior vena cava rupture caused during balloon dilatation for treatment of SVC syndrome due to repetitive catheter ablation—a case report. Angiology 57:247-9.nTeo N, Sabharwal T, Rowland E, et al. 2002. Treatment of superior vena cava obstruction secondary to pacemaker wires with balloon venoplasty and insertion of metallic stents. Eur Heart J 23:1464-70.n
