Superior vena cava syndrome in infancy is an unusual complication of the use of central venous catheters in neonatal intensive care unit. The majority of cases are caused by malignant tumors within the mediastinum, most commonly lung cancer and nonhodgkins lymphoma, directly compressing or invading the svc wall. Whether english is your first language, your second, or your nineteenth, you may have experienced trouble with all the words that end in ough. History tells that in the 18th century, syphilis and tuberculosis were responsible for 40% of the known cases. Other causes of this syndrome in children are surgery for congenital heart disease which accounts for most of the cases, and lymphomas, that constitute the second most. By definition it is the extrinsic or intrinsic obstruction of the superior vena cava. Superior vena cava syndrome lung cancer is now the main cause of blood flow obstruction in the superior vena cava and of its clinical manifestations. On superior vena cava thrombosis the blood flow diverts into this network of collateral channels. Diagnosis could be confirmed in 17 cases as one child succumbed to.
Urgencias en pacientes oncologicos pediatricos scielo uruguay. Superior vena cava syndrome svcs is rare in childhood. The brachiocephalic veins, superior vena cava and azygoshemiazygos system drain the upper extremities and the head and neck. E ology and outcome of superior vena cava svc obstruc on in adults. Superior vena cava syndrome secondary to aortic disease. Superior vena cava syndrome new england journal of medicine, 3711142 6. Abstract we studied a 57 yearold patient of black complexion, with swelling of the lower. Superior vena cava syndrome svcs, is a group of symptoms caused by obstruction of the superior vena cava svc, a short, wide vessel carrying circulating blood into the heart. They are connected by a rich network of smaller venous plexuses that are normally not or only barely opacified on chest ct. Superior vena cava syndrome is a set of signs and symptoms due to superior vena cava obstruction. Endovascular treatment of superior vena cava syndrome by percutaneous venoplasty. Since its first description in 1757, the superior vena cava syndrome has been a challenge for the clinician.
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