Dhondt E, Hutse W, Vanmeerhaeghe X, Jordaens L
Department of Cardiology, University Hospital of Ghent, Belgium.
Eur Heart J. 1995 May;16(5):716-8. doi: 10.1093/oxfordjournals.eurheartj.a060981.
Superior vena cava syndrome is a rare, but nevertheless well known complication of permanent pacemaker implantation. Nowadays cardioverter defibrillators are also routinely implanted transvenously. A superior vena cava syndrome occurred in a 48-year-old female 2 years after implantation of cardioverter defibrillator. The clinical problem, in the presence of a predisposing thrombophilic condition (circulating lupus anticoagulant), resolved only partially after treatment with thrombolytics and oral anticoagulation. This syndrome should be recognized as a possible important complication of defibrillator therapy and requires lifelong anticoagulation.
上腔静脉综合征是永久性起搏器植入术一种罕见但广为人知的并发症。如今，心脏复律除颤器也常规经静脉植入。一名48岁女性在植入心脏复律除颤器2年后发生了上腔静脉综合征。在存在易栓倾向（循环狼疮抗凝物）的情况下，经溶栓和口服抗凝治疗后，临床问题仅得到部分解决。该综合征应被视为除颤器治疗可能的重要并发症，且需要终身抗凝治疗。
