Chandrasekaran Nivash, Thimmarayappa Ashwini, Jagadeesh A M
Department of Cardiac Anesthesiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India.
Ann Card Anaesth. 2015 Oct-Dec;18(4):589-92. doi: 10.4103/0971-9784.166478.
The treatment options for superior vena cava (SVC) obstruction depends on the cause and severity of SVC narrowing. It ranges from conservative medical management to more elaborate endovascular and surgical repair of obstruction. There has always been a concern regarding the possibility of rupture of SVC during balloon dilatation, if the obstruction is secondary to the surgical cause. Very few cases are reported in the literature. We report a case of fatal complication of SVC tear in a 2-month-old child who had iatrogenic SVC narrowing.
上腔静脉（SVC）梗阻的治疗方案取决于SVC狭窄的病因和严重程度。其范围从保守的药物治疗到更为复杂的血管内介入及梗阻外科修复。如果梗阻是由手术原因引起的，一直有人担心在球囊扩张过程中上腔静脉破裂的可能性。文献中报道的此类病例极少。我们报告一例2个月大患有医源性SVC狭窄的儿童发生SVC撕裂致死并发症的病例。
