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Surgical management of superior vena cava syndrome following pacemaker lead infection: a case report and review of the literature
Superior vena cava (SVC) syndrome is a known but rare complication of pacemaker lead implantation, accounting for approximately less than 0.5% of cases. Its pathophysiology is due to either infection or endothelial mechanical stress, causing inflammation and fibrosis leading to thrombosis, and there...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4075978/ https://www.ncbi.nlm.nih.gov/pubmed/24947452 http://dx.doi.org/10.1186/1749-8090-9-107 |
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author | Kokotsakis, John Chaudhry, Umar AR Tassopoulos, Dimitris Harling, Leanne Ashrafian, Hutan Vernandos, Michail Kanakis, Meletis Athanasiou, Thanos |
author_facet | Kokotsakis, John Chaudhry, Umar AR Tassopoulos, Dimitris Harling, Leanne Ashrafian, Hutan Vernandos, Michail Kanakis, Meletis Athanasiou, Thanos |
author_sort | Kokotsakis, John |
collection | PubMed |
description | Superior vena cava (SVC) syndrome is a known but rare complication of pacemaker lead implantation, accounting for approximately less than 0.5% of cases. Its pathophysiology is due to either infection or endothelial mechanical stress, causing inflammation and fibrosis leading to thrombosis, and therefore stenosis of the SVC. Due to the various risks including thrombo-embolic complications and the need to provide symptomatic relief, medical and surgical interventions are sought early. We present the case of a 48-year Caucasian male who presented with localised swelling and pain at the site of pacemaker implantation. Inflammatory markers were normal, but diagnostic imaging revealed three masses along the pacemaker lead passage. A surgical approach using cardiopulmonary bypass and circulatory arrest was used to remove the vegetations. Culture from the vegetations showed Staphylococcus epidermidis. The technique presented here allowed for safe and effective removal of both the thrombus and infected pacing leads, with excellent exposure and minimal post-procedure complications. |
format | Online Article Text |
id | pubmed-4075978 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-40759782014-07-01 Surgical management of superior vena cava syndrome following pacemaker lead infection: a case report and review of the literature Kokotsakis, John Chaudhry, Umar AR Tassopoulos, Dimitris Harling, Leanne Ashrafian, Hutan Vernandos, Michail Kanakis, Meletis Athanasiou, Thanos J Cardiothorac Surg Case Report Superior vena cava (SVC) syndrome is a known but rare complication of pacemaker lead implantation, accounting for approximately less than 0.5% of cases. Its pathophysiology is due to either infection or endothelial mechanical stress, causing inflammation and fibrosis leading to thrombosis, and therefore stenosis of the SVC. Due to the various risks including thrombo-embolic complications and the need to provide symptomatic relief, medical and surgical interventions are sought early. We present the case of a 48-year Caucasian male who presented with localised swelling and pain at the site of pacemaker implantation. Inflammatory markers were normal, but diagnostic imaging revealed three masses along the pacemaker lead passage. A surgical approach using cardiopulmonary bypass and circulatory arrest was used to remove the vegetations. Culture from the vegetations showed Staphylococcus epidermidis. The technique presented here allowed for safe and effective removal of both the thrombus and infected pacing leads, with excellent exposure and minimal post-procedure complications. BioMed Central 2014-06-19 /pmc/articles/PMC4075978/ /pubmed/24947452 http://dx.doi.org/10.1186/1749-8090-9-107 Text en Copyright © 2014 Kokotsakis et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Case Report Kokotsakis, John Chaudhry, Umar AR Tassopoulos, Dimitris Harling, Leanne Ashrafian, Hutan Vernandos, Michail Kanakis, Meletis Athanasiou, Thanos Surgical management of superior vena cava syndrome following pacemaker lead infection: a case report and review of the literature |
title | Surgical management of superior vena cava syndrome following pacemaker lead infection: a case report and review of the literature |
title_full | Surgical management of superior vena cava syndrome following pacemaker lead infection: a case report and review of the literature |
title_fullStr | Surgical management of superior vena cava syndrome following pacemaker lead infection: a case report and review of the literature |
title_full_unstemmed | Surgical management of superior vena cava syndrome following pacemaker lead infection: a case report and review of the literature |
title_short | Surgical management of superior vena cava syndrome following pacemaker lead infection: a case report and review of the literature |
title_sort | surgical management of superior vena cava syndrome following pacemaker lead infection: a case report and review of the literature |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4075978/ https://www.ncbi.nlm.nih.gov/pubmed/24947452 http://dx.doi.org/10.1186/1749-8090-9-107 |
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