Superior vena cava syndrome (definition, aetiology, physiology, symptoms, diagnosis and treatment)
Authors:
Y. Staňková; I. Vašutová; J. Skřičková
Authors‘ workplace:
Klinika nemocí plicních a tuberkulózy Lékařské fakulty MU a FN Brno, pracoviště Bohunice, přednostka prof. MUDr. Jana Skřičková, CSc.
Published in:
Vnitř Lék 2007; 53(11): 1211-1214
Category:
Reviews
Overview
Superior vena cava syndrome is a group of symptoms arising from reduced blood flow from the superior vena cava to the right atrium. The causes of superior vena cava syndrome can be malignant or benign. Nearly 95% of cases are, however, the result of malignant diseases. Superior vena cava syndrome is characterised by swelling of the face, neck or upper limbs with visible dilation of the veins in the neck or chest. Frequent symptoms are breathlessness and coughing. The treatment of the syndrome depends on the aetiology of the obstruction, the seriousness and prognosis of the disease. Treatment should begin as early as possible.
Key words:
superior vena cava syndrome – benign and malignant causes – chemotherapy – radiotherapy – thrombolysis
Sources
1. Hunter W. The history of an aneurysm of the aorta with some remarks on aneurysms in general. Med Observ Inq 1757; 1: 323.
2. Urban T, Lebeau B, Chastang C et al. Superior vena cava syndrom in small-cell lung cancer. Arch Intern Med 1993; 153: 384-387.
3. Kallab AM. Superior vena cava syndrome. eMedicine 2005. http://www.emedicine.com/med/topic2208.htm
4. Shrestha J et al. Superior vena cava syndrome due to metastatic transitional cell carcinoma. Asian Cardiovasc Thorac Ann 2000; 8: 280-282.
5. Skřičková J, Babičková L. Respirační symptomy. In: Vorlíček J, Adam Z, Pospíšilová Y et al. Paliativní medicína. Praha: Grada Publishing 2004.
6. Schindler N, Vogelzang RL. Superior vena cava syndrome: experience with endovascular stents and surgical therapy. Surg Clin North Am 1999; 79: 683-694.
7. Loutsidis M et al. Actinomycosis presenting as superior vena cava syndrome in a young puerperal woman. J Thorac Cardiovasc Surg 2000; 120: 1009-1010.
8. Baldari E et al. Aortic pseudoaneurysm as a rare cause of superior vena cava syndrome: A case report. Angiology 2006; 57: 363-366.
9. Invase N et al. Mediastinal fibromatosis presenting with superior vena cava syndrome. Respiration 1999; 66: 464-466.
10. Zatloukal P, Petruželka L. Syndrom horní duté žíly. In: Zatloukal P, Petruželka L Karcinom plic. Praha: Grada Publishing 2001.
11. Netref FH. Superior vena cava syndrome. In: Netter FH The CIBA Collection of Medical Illustrations: Respiratory System. Newark (NJ): CIBA Pharmaceutical Company 1980; 164.
12. Baudem SJ. Superior vena cava syndrome induced by bronchogenic carcinoma: is this an oncological emergency? Australas Radiol 1993; 37: 363-366.
13. Stewart IE. Superior vena cava syndrome: an oncologic complication. Semin Oncol Nurs 1996; 12: 312-317.
14. Schraufnagel DE, Hill R, Leech JA et al. Superior vena caval obstruction: is it a medical emergency? Am J Med 1981; 70: 1169-1174.
15. Eren A, Karaman A, Okur H. The superior vena cava syndrome caused by malignant disease imaging with multi-detector row CT. Eur J Radiol 2005; 59: 93-103.
16. Hsu JW, Chiang CD, Hsu WH et al. Superior vena cava syndrome in lung cancer: an analysis of 54 cases. Gaoxiong Yi Xue Ke Xue Za Zhi 1995; 11: 568-573.
17. Rodrigues CI, Njo KH, Karim AB Hypofractionated radiation therapy in the treatment of superior vena cava syndrome. Lung Cancer 1993; 10: 221-228.
18. Doty DB Bypass of superior vena cava: six years’ experience with spiral vein graft for obstruction of superior vena cava due to benign and malignant disease. J Thorac Cardiovasc Surg 1982; 83: 326-338.
Labels
Diabetology Endocrinology Internal medicineArticle was published in
Internal Medicine
2007 Issue 11
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