5,126 results match your criteria: "Superior Vena Cava Syndrome"

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.

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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.

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Recanalization of occluded right innominate vein in presence of a persistent LeVeen shunt: A vascular access rescue case.

Vascular

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.

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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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Superior vena cava syndrome in an infant with large intrathoracic mass.

J Thorac Cardiovasc Surg

November 2024

Department of Cardiothoracic Surgery, Royal Children's Hospital, Melbourne, Victoria, Australia; Department of Paediatrics, University of Melbourne, Melbourne, Victoria, Australia; Heart Research Group, Murdoch Children's Research Institute, Melbourne, Victoria, Australia.

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Article Synopsis
  • * The median age at repair was 5.5 months, with a follow-up period of 11 years showing a high survival rate of 96.4% and a 10-year freedom rate from moderate valve regurgitation at 58.4%.
  • * Key findings indicated that complete closure of the left-sided atrioventricular valve cleft significantly reduced risk of moderate regurgitation, while incomplete cleft closure was linked to worsened valve conditions post-surgery.
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  • * A case study of a 36-year-old woman showed she had worsening shortness of breath and swelling, leading to a diagnosis of a large anterior mediastinal mass that was successfully surgically removed.
  • * The significance of this case highlights the need for early diagnosis of mediastinal liposarcoma in patients with respiratory symptoms, as prompt treatment can greatly improve patient outcomes.
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Chylothorax in the perinatal period may have congenital or acquired aetiologies. In premature infants, invasive procedures with thrombosis risk are common practice. We present a case of a 29-week gestation neonate, diagnosed on the 27th postnatal day with vegetation on the tip of the central venous catheter (CVC) and right auricle thrombosis, along with superior vena cava (SVC) syndrome, leading to significant bilateral chylothorax.

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Article Synopsis
  • Heterotaxy syndrome (HS) is a rare congenital disorder characterized by unusual arrangements of thoracic and abdominal organs, which complicates its diagnosis due to varied clinical presentations and an unclear classification system.
  • The case of a 50-year-old male with a history of multiple health issues presented symptoms like abdominal and back pain, leading to the discovery of congenital anomalies associated with HS and left isomerism, as well as complications from hepatolithiasis.
  • This scenario highlights the diagnostic and management challenges of HS, emphasizing the need for a multidisciplinary approach to care, especially when patients exhibit acute medical issues tied to their unique anatomical structures.
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[Re-Establishment of Vascular Access After Superior Vena Cava Occlusion in Hemodialysis Patients].

Sichuan Da Xue Xue Bao Yi Xue Ban

September 2024

/ ( 610041) Department of Nephrology, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu 610041, China.

Article Synopsis
  • The study aimed to assess how effective percutaneous right atrial puncture and tunneled cuffed catheter insertion are for hemodialysis patients with superior vena cava occlusion (SVCO), and to explore options for patients with limited vascular access.
  • Methods involved enrolling SVCO patients and allowing them to choose between catheterization or establishing peripheral arteriovenous (AV) access, followed by specific procedures to restore vascular access based on imaging guidance.
  • Results showed that 45 patients participated, with 21 receiving catheters and 24 receiving AV access, and the researchers tracked demographic info, clinical outcomes, and complications related to each intervention.
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Unilateral superior vena cava syndrome: An uncommon complication of a commonly used procedure.

S Afr Med J

October 2024

Department of Internal Medicine, Tygerberg Academic Hospital, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.

Article Synopsis
  • Superior vena cava (SVC) syndrome is characterized by symptoms like facial and upper body swelling, distended neck veins, and can lead to serious issues, including upper airway obstruction.
  • The condition is often linked to cancer, making it important to rule out malignancy as a cause.
  • While SVC syndrome typically presents bilaterally, this text discusses a rare case of unilateral SVC syndrome with an unusual non-malignant cause.
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  • - Hepatic pseudolesions are common findings on contrast-enhanced imaging due to the liver's unique blood flow patterns and can also appear on liver scans due to unusual collateral circulation.
  • - A case is presented involving a patient with lung cancer who showed increased metabolic activity in specific liver areas on FDG PET/CT, which matched areas of increased density on a CT scan of the chest.
  • - This abnormal hypermetabolic activity disappeared on a follow-up FDG PET/CT scan taken two days later after changes were made to how the tracer was administered.
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  • A 1-year-old boy with superior vena cava syndrome and persistent chylothorax had surgery that successfully resolved his condition without needing cardiopulmonary bypass.
  • His complicated medical history included multiple health issues like myeloproliferative disease and short bowel syndrome, along with previous central vein catheterizations and anticoagulant use due to vein thrombosis.
  • Despite dietary changes and somatostatin treatment, his high-output chylous pleural effusion remained until he underwent an innominate vein-to-right atrial bypass, leading to a significant reduction in effusion and improved recovery.
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  • Central venous catheters and TIVADs have significantly improved the treatment of pulmonary infections in cystic fibrosis patients, allowing for better tolerance of aggressive intravenous antibiotics during hospital stays.
  • With advancements in procedures and growing experience, lung transplants are now a common option for many CF patients.
  • The case study discusses the successful management of superior vena cava syndrome in a CF patient during lung transplant surgery, emphasizing strategies to reduce procedural risks.
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  • Nutcracker syndrome is a condition where the left renal vein is compressed by the superior mesenteric artery and aorta, potentially causing symptoms like abdominal pain and hematuria.
  • A case study describes a 10-year-old girl who experienced chronic left flank pain for over two years and was diagnosed with Nutcracker syndrome.
  • Her treatment involved surgically moving the left ovarian vein to relieve pressure on the left renal vein, and she has been symptom-free one year post-surgery, highlighting the procedure's effectiveness and low complication rate.
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  • Teratomas are tumors formed from embryonic tissues that contain cells from all three germ layers; they are very rare in the heart, specifically noted in a case involving a newborn's right atrium.
  • A 20-hour-old infant presented with a heart murmur, and an echocardiogram revealed a mass that was successfully surgically removed and identified as a teratoma, with the child recovering well post-operation.
  • The discussion highlights that while mature teratomas are uncommon in the mediastinum, they can cause significant health issues if not diagnosed and treated promptly, emphasizing the need for careful evaluation in infants with cardiac symptoms.
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Differential hypoxemia during peripheral cardiopulmonary bypass.

Perfusion

October 2024

Anestesia e Rianimazione Cardiologica, ASST Sette Laghi - Ospedale di Circolo e Fondazione Macchi, Varese, Italy.

Article Synopsis
  • - Minimally invasive cardiac surgery (MICS) for mitral valve repair can lead to a rare issue called differential hypoxemia, where one part of the body suffers from low oxygen levels, particularly in the upper body during surgery.
  • - A case study of a 38-year-old man with Barlow Syndrome showed that his right arm's oxygen saturation dropped to 65% due to a dislodged venous cannula, but repositioning restored normal oxygen levels and allowed surgery to continue smoothly.
  • - The report suggests implementing monitoring for cerebral oxygenation during MICS procedures, emphasizing the increased risk of stroke and the need for good team communication in the surgical environment.
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Article Synopsis
  • Primary mediastinal germ cell tumor (PMGCT), particularly choriocarcinoma, has a poor prognosis and is treated with BEP therapy, which can lead to complications like acute respiratory distress syndrome (ARDS).
  • A 38-year-old woman diagnosed with advanced primary mediastinal choriocarcinoma underwent BEP therapy, resulting in a significant reduction of hCG levels.
  • To minimize the risk of ARDS, she switched to VIP therapy and successfully underwent surgical resection, remaining disease-free for 16 months post-surgery.
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Superior Vena Cava Syndrome Revealing Sarcoidosis a Decade Later: A Case Report.

Cureus

September 2024

Department of Pulmonology, Ibn Sina University Hospital Center, Faculty of Medicine and Pharmacy, Mohamed V University, Rabat, MAR.

Article Synopsis
  • * The case involves a 54-year-old woman who initially had treatment for tuberculosis and later developed superior vena cava syndrome (SVCS) with an unclear cause.
  • * In 2023, she was diagnosed with mediastino-pulmonary sarcoidosis type II but remained stable without needing specific treatment, highlighting that while malignancies typically cause SVCS, benign conditions like sarcoidosis should also be considered.
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Percutaneous balloon venoplasty for symptomatic lead-related venous stenosis.

Heart Rhythm

October 2024

Electrophysiology Section, Division of Cardiology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania. Electronic address:

Article Synopsis
  • Lead-related venous stenosis (LRVS), often diagnosed incidentally, can cause symptoms like swelling and discomfort in patients with transvenous leads, although actual symptomatic cases are rarer.
  • A study at the Hospital of the University of Pennsylvania analyzed 18 patients with symptomatic LRVS who did not respond to anticoagulation and underwent balloon venoplasty, finding that a significant majority (72%) experienced complete symptom relief post-procedure.
  • The study concluded that while balloon venoplasty is generally safe and effective, timely intervention is crucial, especially as treatment becomes less effective when secondary lymphedema is present.
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