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DOI: 10.1055/s-2005-865829
© Georg Thieme Verlag KG Stuttgart · New York
Perforation of the Ascending Aorta: A Late Complication of Superior Vena Cava Stenting
Publication History
Received April 3, 2005
Publication Date:
17 February 2006 (online)
Abstract
Intravascular stenting of the superior vena cava (SVC) is an established therapy in patients with SVC syndrome. Late complications include re-occlusion, stent infection, migration, and perforation. Affection of the greater thoracic vessels is rare and life-threatening when it occurs. We present a case of ascending aorta laceration as a late complication of SVC stenting. Surgical therapy included excision of the aortic lesion and pericardial patch repair. This case illustrates successful management of a complication after palliative stenting of the SVC.
Key words
Complications - embolism and thrombosis - stents - superior vena cava syndrome - thymoma
References
- 1 Dyet J F, Moghissi K. Role of venography in assessing patients with superior vena cava obstruction caused by carcinoma for bypass operations. Thorax. 1980; 35 628-630
- 2 Calderon M C, Lozano V M, Jaquez A. et al . Surgical repair of superior vena cava syndrome. Ann Thorac Surg. 2001; 71 1351-1353
- 3 Boardman P, Ettles D F. Cardiac tamponade: A rare complication of attempted stenting in malignant superior vena caval obstruction. Clin Radiol. 2000; 55 645-647
- 4 Smith S L, Manhire A R, Clark D M. Delayed spontaneous superior vena cava perforation associated with a SVC wallstent. Cardiovasc Intervent Radiol. 2001; 24 286-287
- 5 Evans J, Saba Z, Rosenfeld H. et al . Aortic laceration secondary to Palmaz stent placement for treatment of superior vena cava syndrome. Catheter Cardiovasc Intervent. 2000; 49 160-162
- 6 Recto M R, Bousamra M, Yeh Jr T. Late superior vena cava perforation and aortic laceration after stent placement for treatment of superior vena cava syndrome secondary to fibrosing mediastinitis. J Invas Cardiol. 2002; 14 624-629
MD U. Kappert
Heart Center Dresden University Hospital
Department of Cardiac Surgery
Fetscherstraße 76
01307 Dresden
Germany
Phone: + 493514501805
Fax: + 49 35 14 50 17 07
Email: M.Weber@herzzentrum-dresden.com