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Inicio Revista Española de Anestesiología y Reanimación (English Edition) Percutaneous endovascular treatment of an iatrogenic superior cava vein syndrome...
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Vol. 66. Issue 7.
Pages 390-393 (August - September 2019)
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Vol. 66. Issue 7.
Pages 390-393 (August - September 2019)
Case report
DOI: 10.1016/j.redare.2019.01.010
Percutaneous endovascular treatment of an iatrogenic superior cava vein syndrome during the immediate post-operative period after mitral-aortic valve replacement
Tratamiento endovascular percutáneo de un síndrome de vena cava superior en el postoperatorio inmediato de recambio valvular mitroaórtico
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M. González Sandovala,
Corresponding author
mariagonzalezsandoval@gmail.com

Corresponding author.
, M. Taboada Muñiza, D. López Oterob, P. Otero Castroa, M. Eiras Mariñoa, J. Álvarez Escuderoa
a Servicio de Anestesiología y Reanimación, Hospital Universitario de Santiago de Compostela, Santiago de Compostela, La Coruña, Spain
b Servicio de Cardiología, Departamento de Hemodinámica, Hospital Universitario de Santiago de Compostela, Santiago de Compostela, La Coruña, Spain
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Abstract

Superior vena cava syndrome (SVCS) results from superior vena cava obstruction, causing a decrease in venous return from the head, neck, and upper extremities. Although the most frequent cause is still malignant tumour processes, in recent years an increase has been observed in non-tumour causes, such as thrombosis of intravascular devices or iatrogenic causes during cardiac surgery. A case is presented of SVCS after cardiac surgery treated satisfactorily by an endovascular technique and systemic anticoagulation.

Keywords:
Superior vena cava vein syndrome
Cava vein iatrogenic stenosis
Endovascular treatment
Resumen

El síndrome de vena cava superior (SVCS) resulta de la obstrucción de la vena cava superior, que origina una disminución del retorno venoso procedente de cabeza, cuello y extremidades superiores. Aunque la causa más frecuente siguen siendo procesos tumorales malignos, en los últimos años hemos visto un aumento de causas no tumorales, como trombosis de dispositivos intravasculares permanentes o causas iatrogénicas durante la cirugía cardiaca. Presentamos un caso de SVCS tras cirugía cardiaca tratado de forma satisfactoria mediante técnica endovascular y anticoagulación sistémica.

Palabras clave:
Síndrome de vena cava superior
Estenosis de vena cava superior iatrogénica
Tratamiento endovascular

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