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Unusual Cause of Acute Right Ventricular Dysfunction: Rapid Progression of Superior Vena Cava Aneurysm Complicated by Thrombosis and Pulmonary Thromboembolism
Aneurysms of the major thoracic veins are rare. They are usually asymptomatic and thus treated conservatively. We report an extremely rare case of rapidly progressing superior vena cava (SVC) aneurysm complicated by thrombosis and acute pulmonary thromboembolism (PTE) with right ventricular dysfunct...
Autores principales: | , , , , , , , , |
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Formato: | Texto |
Lenguaje: | English |
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The Korean Academy of Medical Sciences
2011
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3082125/ https://www.ncbi.nlm.nih.gov/pubmed/21532864 http://dx.doi.org/10.3346/jkms.2011.26.5.690 |
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author | Oh, Sang Gi Kim, Kye Hun Seon, Hyun Ju Yoon, Hyun Ju Ahn, Youngkeun Jeong, Myung Ho Cho, Jeong Gwan Park, Jong Chun Kang, Jung Chaee |
author_facet | Oh, Sang Gi Kim, Kye Hun Seon, Hyun Ju Yoon, Hyun Ju Ahn, Youngkeun Jeong, Myung Ho Cho, Jeong Gwan Park, Jong Chun Kang, Jung Chaee |
author_sort | Oh, Sang Gi |
collection | PubMed |
description | Aneurysms of the major thoracic veins are rare. They are usually asymptomatic and thus treated conservatively. We report an extremely rare case of rapidly progressing superior vena cava (SVC) aneurysm complicated by thrombosis and acute pulmonary thromboembolism (PTE) with right ventricular dysfunction. Thrombolytic therapy for hemodynamically significant acute PTE was harmful to the patient in the present case, because it induced further thrombosis and mobilization of the thrombi within the aneurysm, subsequently causing de novo PTE. Surgical aneurysmectomy combined with pulmonary artery embolectomy would be a treatment of choice in patients with SVC aneurysm complicated by acute PTE. |
format | Text |
id | pubmed-3082125 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | The Korean Academy of Medical Sciences |
record_format | MEDLINE/PubMed |
spelling | pubmed-30821252011-05-01 Unusual Cause of Acute Right Ventricular Dysfunction: Rapid Progression of Superior Vena Cava Aneurysm Complicated by Thrombosis and Pulmonary Thromboembolism Oh, Sang Gi Kim, Kye Hun Seon, Hyun Ju Yoon, Hyun Ju Ahn, Youngkeun Jeong, Myung Ho Cho, Jeong Gwan Park, Jong Chun Kang, Jung Chaee J Korean Med Sci Case Report Aneurysms of the major thoracic veins are rare. They are usually asymptomatic and thus treated conservatively. We report an extremely rare case of rapidly progressing superior vena cava (SVC) aneurysm complicated by thrombosis and acute pulmonary thromboembolism (PTE) with right ventricular dysfunction. Thrombolytic therapy for hemodynamically significant acute PTE was harmful to the patient in the present case, because it induced further thrombosis and mobilization of the thrombi within the aneurysm, subsequently causing de novo PTE. Surgical aneurysmectomy combined with pulmonary artery embolectomy would be a treatment of choice in patients with SVC aneurysm complicated by acute PTE. The Korean Academy of Medical Sciences 2011-05 2011-04-21 /pmc/articles/PMC3082125/ /pubmed/21532864 http://dx.doi.org/10.3346/jkms.2011.26.5.690 Text en © 2011 The Korean Academy of Medical Sciences. http://creativecommons.org/licenses/by-nc/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Oh, Sang Gi Kim, Kye Hun Seon, Hyun Ju Yoon, Hyun Ju Ahn, Youngkeun Jeong, Myung Ho Cho, Jeong Gwan Park, Jong Chun Kang, Jung Chaee Unusual Cause of Acute Right Ventricular Dysfunction: Rapid Progression of Superior Vena Cava Aneurysm Complicated by Thrombosis and Pulmonary Thromboembolism |
title | Unusual Cause of Acute Right Ventricular Dysfunction: Rapid Progression of Superior Vena Cava Aneurysm Complicated by Thrombosis and Pulmonary Thromboembolism |
title_full | Unusual Cause of Acute Right Ventricular Dysfunction: Rapid Progression of Superior Vena Cava Aneurysm Complicated by Thrombosis and Pulmonary Thromboembolism |
title_fullStr | Unusual Cause of Acute Right Ventricular Dysfunction: Rapid Progression of Superior Vena Cava Aneurysm Complicated by Thrombosis and Pulmonary Thromboembolism |
title_full_unstemmed | Unusual Cause of Acute Right Ventricular Dysfunction: Rapid Progression of Superior Vena Cava Aneurysm Complicated by Thrombosis and Pulmonary Thromboembolism |
title_short | Unusual Cause of Acute Right Ventricular Dysfunction: Rapid Progression of Superior Vena Cava Aneurysm Complicated by Thrombosis and Pulmonary Thromboembolism |
title_sort | unusual cause of acute right ventricular dysfunction: rapid progression of superior vena cava aneurysm complicated by thrombosis and pulmonary thromboembolism |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3082125/ https://www.ncbi.nlm.nih.gov/pubmed/21532864 http://dx.doi.org/10.3346/jkms.2011.26.5.690 |
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