Park Hyung-Wook, Kim Weon, Cho Jeong-Gwan, Kang Jung-Chaee
Division of Cardiology, The Heart Center, Chonnam National University Hospital, Research Institute of Medical Sciences, Chonnam National University, Gwangju, Korea.
J Cardiovasc Electrophysiol. 2005 Feb;16(2):221-3. doi: 10.1046/j.1540-8167.2005.40511.x.
Pacemaker-induced SVC syndrome. The superior vena cava (SVC) syndrome is an uncommon but sometimes serious complication associated with permanently implanted pacemakers. The mechanical stress associated with pacemaker wires may lead to vessel wall inflammation, fibrosis, thrombus formation, and, ultimately, venous stenosis and occlusion. The surgical treatment of pacemaker-related SVC syndrome requires thoracotomy and may result in significant morbidity. The long-term effects on the pacemaker electrodes, due to compression between the stent and the wall of the vein, remain unknown. We describe a case in which balloon venoplasty successfully resolved the SVC syndrome. The patient has remained symptom-free and with normal pacemaker function for 6 months.
起搏器诱发的上腔静脉综合征。上腔静脉(SVC)综合征是一种与永久性植入起搏器相关的罕见但有时严重的并发症。与起搏器导线相关的机械应力可能导致血管壁炎症、纤维化、血栓形成,并最终导致静脉狭窄和闭塞。起搏器相关上腔静脉综合征的手术治疗需要开胸,可能会导致显著的发病率。由于支架与静脉壁之间的压迫,对起搏器电极的长期影响尚不清楚。我们描述了一例球囊血管成形术成功解决上腔静脉综合征的病例。该患者在6个月内一直无症状,起搏器功能正常。