Pacemaker İnduced Superior Vena Cava Syndrome and Subclavian Vein Stenosis: Case Report and Systematic Review

Yıl 2014, Cilt: 1 Sayı: 1, 19 - 22, 01.05.2014

Mehmet Bostan Murtaza Durakoğlugil Zakir Karadağ Yavuz Uğurlu Turan Erdoğan

Öz

Superior vena cava (SVC) is the biggest venous

channel carrying blood from head, upper extremities

and upper thorax to the heart. Subclavian vein is

almost always utilized during pacemaker

implantation. Although venous stenosis after

pacemaker implantation is a common complication,

most of the patients remain asymptomatic. SVC

syndrome is a serious but very rare complication of

pacemaker implantation. Here, we report a patient

with SVC syndrome and concomitant subclavian

stenosis due to pacemaker implantation 20 years ago.

Different treatment strategies are available but

sometimes as in our case, it may be difficult to treat.

Anahtar Kelimeler

Vena kava superior sendromu, kalp pili, subklavian ven darlığı

Kaynakça

• Wilson LD, Detterbeck FC, Yahalom J. Clinical practice. Superior vena cava syndrome with malignant causes. N Engl J Med 2007;356(18):1862
• Rozmus G, Daubert JP, Huang DT, Rosero S, Hall B, Francis C. Venous thrombosis and stenosis after implantation of pacemakers and defibrillators. J Interv Card Electrophysiol 2005;13(1):9
• Melzer C, Lembcke A, Ziemer S, Eddicks S, Witte J, Baumann G, et al. Pacemaker
• Rice TW, Rodriguez RM, Light RW. The superior vena cava syndrome: clinical characteristics and evolving etiology. Medicine (Baltimore) 2006;85(1):37
• Park HW, Kim W, Cho JG, Kang JC. Multiple pacing lead
• Conte FA, Orzel JA. Superior vena cava syndrome and bilateral subclavian vein thrombosis. CT and radionuclide venography correlation. Clin Nucl Med 1986;11(10):698
• Qanadli SD, El Hajjam M, Bruckert F, Judet O, Barre O, Chagnon S, et al. Helical CT phlebography of the superior vena cava: diagnosis and evaluation of venous obstruction. AJR Am J Roentgenol 1999;172(5):1327
• Shaheen K, Alraies MC. Superior vena cava syndrome. Cleve Clin J Med 2012;79(6):410