Rajavardhan R, Shetty Rajesh Mohan, Achaiah Nithya Chowrira, Thimmappa Manjunath, Reddy Arun Veeram
Critical Care Medicine, Manipal Hospital Whitefield, Bangalore, Karnataka India.
Cardiothoracic Surgery, Manipal Hospital Whitefield, Bangalore, Karnataka India.
Indian J Thorac Cardiovasc Surg. 2022 Mar;38(2):215-217. doi: 10.1007/s12055-021-01293-z. Epub 2022 Jan 4.
Superior vena cava (SVC) syndrome is caused by either extrinsic compression of SVC or intrinsic lesions within SVC leading to obstruction of SVC and consequently swelling of the face, neck, and upper extremeities. Iatrogenic incidence is on the rise due to the use of long-term indwelling catheters. SVC syndrome in extracorporeal membrane oxygenation (ECMO) has been defined in neonatal and paediatric ECMO cases. Only one case of SVC syndrome in adult has been defined while using a double-lumen ECMO cannula. Our case describes a case of SVC syndrome in a case on veno-venous ECMO (VV-ECMO) with an internal jugular vein (IJV) return cannula which is unheard of. A high index of suspicion is required to diagnose SVC syndrome.
上腔静脉（SVC）综合征是由SVC的外部压迫或SVC内的内在病变引起的，导致SVC梗阻，进而引起面部、颈部和上肢肿胀。由于长期留置导管的使用，医源性发病率正在上升。体外膜肺氧合（ECMO）中的SVC综合征已在新生儿和儿科ECMO病例中得到定义。在使用双腔ECMO插管时，仅定义了一例成人SVC综合征。我们的病例描述了一例使用颈内静脉（IJV）回流插管的静脉-静脉ECMO（VV-ECMO）患者发生SVC综合征的情况，这是前所未闻的。诊断SVC综合征需要高度的怀疑指数。
