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KMID : 0338420070220020118
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The Korean Journal of Internal Medicine
2007 Volume.22 No. 2 p.118 ~ p.121
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Superior Vena Cava Syndrome Caused by Encircling Soft Tissue
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Kim Dae-Hyeok
Jeon Yong-Sun
Kim Ki-Chang
An In-Sun
Kwan Jun
Park Keum-Soo
Lee Woo-Hyung
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Abstract
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Superior vena cava syndrome can occur from benign conditions that might not alter life expectancy. Here we present a case of a superior vena cava (SVC) obstruction caused by soft tissue encircling the SVC, which was strongly suspected of being an unusual focal type of fibrosing mediastinitis. A 39-year-old man with no prior medical history presented with a four-week history of facial plethora, headache and dilated veins of the neck with a dark purple color change on the anterior chest wall. Radiology examinations, including venography, and computed tomography with a 3-dimensional volume-rendering image of the chest, had revealed severe narrowing of the SVC due to tiny encircling soft tissue and collateral vessels. A total occlusion of the SVC occurred as a result of a thrombus that developed within 1 day after the diagnostic SVC angiogram. The patient underwent stent deployment three days after the administration of thrombolytic therapy.
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KEYWORD
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Superior Vena Cava Syndrome, Stent
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