Department of Cardiovascular Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Department of Cardiovascular Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Ann Thorac Surg. 2014 Apr;97(4):1445-7. doi: 10.1016/j.athoracsur.2013.07.084.
Thrombosis is a rare cause of superior vena cava (SVC) syndrome. We report a 37-year-old man hospitalized because of swelling of the face and neck. A computed tomography angiography showed a thrombotic obstruction of SVC. The patient was treated by percutaneous transluminal balloon angioplasty of the SVC and placement of a stent. The symptoms disappeared, but the patient was hospitalized again after 3 months for the same complaints. Computed tomography angiography showed thrombosis in the stent in the SVC. The SVC was replaced with a prosthetic blood vessel. The patient's postoperative recovery was uneventful, and SVC syndrome did not occur during 2 years of postoperative follow-up.
血栓形成是上腔静脉（SVC）综合征的罕见原因。我们报告了一例 37 岁男性，因面部和颈部肿胀住院。计算机断层血管造影显示 SVC 血栓性阻塞。患者接受了 SVC 经皮腔内球囊血管成形术和支架置入术治疗。症状消失，但 3 个月后患者因同样的主诉再次住院。计算机断层血管造影显示 SVC 支架内血栓形成。SVC 被人造血管替代。患者术后恢复顺利，术后 2 年随访未发生 SVC 综合征。
