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Semin intervent Radiol 2006; 23(4): 361-365
DOI: 10.1055/s-2006-957027
MORBIDITY AND MORTALITY CASE

Copyright © 2006 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Superior Vena Cava Syndrome

Brian Funaki1
  • 1Section of Vascular and Interventional Radiology, University of Chicago Hospitals, Chicago, Illinois
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Publication Date:
29 December 2006 (online)

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Superior vena cava syndrome occurs when there is acute or subacute stenosis or occlusion of the superior vena cava. Marked facial and upper extremity swelling results in dysphagia, dyspnea, and pain. Both benign and malignant processes can cause superior vena cava syndrome; the most common etiologies are tumor, indwelling catheters, and mediastinal fibrosis. The acuity of the obstructive process has important ramifications: a slowly occlusive process may allow collateral venous drainage (as seen in some hemodialysis patients) and remain relatively well compensated, and a rapid occlusion nearly always results in severe symptoms.

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Brian FunakiM.D. 

Section of Vascular and Interventional Radiology, University of Chicago Hospitals

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