Kashani Babak Sharif, Ahmadi Zargham Hossein, Abdi Seifollah, Mirhosseini Seyed Mohsen, Kianfar Amir Abbas, Niusha Shanay
Tobacco Prevention and Control Research Center, National Research Institute of Tuberculosis and Lung Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Lung Transplantation Research Center, National Research of Tuberculosis and Lung Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Asian Cardiovasc Thorac Ann. 2016 Jan;24(1):88-90. doi: 10.1177/0218492314532279. Epub 2014 Apr 14.
Superior vena cava obstruction can be a serious complication after heart transplantation. A 58-year-old man with ischemic cardiomyopathy underwent orthotopic bicaval heart transplantation. On the 12th postoperative day, one hour after removing the central venous line, he developed sudden onset of facial edema, cyanosis, and tachycardia. Emergency transesophageal echocardiography revealed superior vena caval thrombosis at the site of anastomosis. Considering the risks of surgical reexploration, the superior vena cava was recanalized by stent deployment. All of the patient's symptoms were relieved a few hours after stent placement.
上腔静脉梗阻可能是心脏移植术后的严重并发症。一名58岁的缺血性心肌病男性接受了原位双腔心脏移植。术后第12天，拔除中心静脉导管1小时后，他突然出现面部水肿、发绀和心动过速。急诊经食管超声心动图显示吻合部位上腔静脉血栓形成。考虑到再次手术探查的风险，通过置入支架使上腔静脉再通。支架置入后数小时，患者所有症状均缓解。
