We describe a case of a 64-year-old man with superior vena cava (SVC) obstruction caused by a huge pseudoaneurysm of the ascending aorta. Pseudoaneurysm of the ascending aorta is an uncommon cause of SVC obstruction. Multi-detector row computed tomography (MDCT) simultaneously clarified the SVC obstruction and coronary artery stenosis.
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http://dx.doi.org/10.1016/j.jccase.2010.12.006 | DOI Listing |
Cureus
November 2024
Internal Medicine/Pulmonary Critical Care, Appalachian Regional Healthcare, Harlan, USA.
Hodgkin's lymphoma (HL) is a malignancy of the lymphocytes in the lymph nodes and presents with non-specific systemic symptoms like fever, night sweats, and weight loss. While HL often involves the mediastinum, it rarely causes superior vena cava (SVC) syndrome, and eosinophilia is noted in approximately 15% of cases. Here, we report a unique presentation of HL in a 52-year-old male with a history of chronic pruritus, chronic kidney disease, and inactive hepatitis B.
View Article and Find Full Text PDFPhys Imaging Radiat Oncol
October 2024
Comprehensive Cancer Center, Helsinki University Central Hospital, PL180, 00029 HUS, Finland.
Background And Purpose: Radiotherapy (RT) treatment planning is based on a planning computed tomography scan (pCT), while the decision to treat is often already established on a diagnostic CT scan (dCT). The objective of this study was to evaluate the usage of dCT for palliative radiation planning of soft tissue tumoral masses (STTMs), removing the need for a pCT scan and associated attendances.
Materials And Methods: RT planning was performed retrospectively to 38 STTMs of 7 anatomical sites using volumetric modulated arc therapy techniques in dCT and transferred to pCT.
BMJ Case Rep
December 2024
Department of General Surgery, All India Institute of Medical Sciences - Nagpur, Nagpur, Maharashtra, India.
Retrosternal or substernal goitre is a clinical entity defined when a significant proportion of the thyroid gland extends inferiorly through the thoracic inlet into the mediastinum. It has an incidence of 5.1-15.
View Article and Find Full Text PDFVascular
December 2024
Division of Vascular and Endovascular Surgery, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, Padova, Italy.
Background: Superior vena cava syndrome (SVCs) is a common complication in hemodialysis patients due to central vein occlusions, often caused by prior catheterizations. Management can be challenging.
Objective: To describe a successful endovascular approach to managing SVCs caused by right innominate vein (RIV) occlusion in a hemodialysis patient with a non-functional LeVeen shunt.
J Vasc Access
December 2024
University of Maryland School of Medicine, Baltimore, MD, USA.
This case series describes the endovascular management of three patients with catheter-associated superior vena cava (SVC) syndrome. SVC syndrome can result from malignant (60%) or benign (40%) etiologies. The most common causes of benign SVC syndrome are indwelling central venous catheters (CVCs) with 1%-3% and 0.
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