Molhem Azeb, Sabry Alaa, Bawadekji Hassan, Al Saran Khalid
Prince Salman Center for Kidney Disease, Riyadh, Kingdom of Saudi Arabia.
Saudi J Kidney Dis Transpl. 2011 Mar;22(2):381-6.
Obstruction of blood flow in the superior vena cava (SVC) results in symptoms and signs of SVC syndrome. SVC obstruction can be caused either by invasion or external compression of the SVC by contagious pathologic processes involving the right lung, lymph nodes, and other mediastinal structures, or by thrombosis of blood within the SVC. Occasionally, both mechanisms co-exist. We hereby report a case of a 28-year-old male, Saudi patient who was diagnosed with end-stage renal disease and was maintained on regular hemodiaysis via right jugular vein dual lumen catheter for ten months. Three years later, the patient presented with signs and symptoms suggestive of SVC obstruction that was successfully managed with SVC stenting.
上腔静脉（SVC）血流受阻会导致上腔静脉综合征的症状和体征。上腔静脉阻塞可由涉及右肺、淋巴结和其他纵隔结构的传染性病理过程对上腔静脉的侵犯或外部压迫引起，也可由上腔静脉内的血栓形成引起。偶尔，两种机制并存。我们在此报告一例28岁的沙特男性患者，该患者被诊断为终末期肾病，并通过右颈内静脉双腔导管进行定期血液透析维持了10个月。三年后，该患者出现了提示上腔静脉阻塞的症状和体征，并通过上腔静脉支架置入术成功治疗。
