Cargando…

Superior Vena Cava Syndrome in Conjunction with Pulmonary Vasculature Compromise: A Case Study and Literature Review

Patient: Male, 61 Final Diagnosis: SVC syndrome Symptoms: Dyspnea Medication: — Clinical Procedure: — Specialty: Oncology OBJECTIVE: Unusual clinical course BACKGROUND: Superior vena cava (SVC) syndrome can result from external compression or invasion of the vessel from structural pathology within t...

Descripción completa

Detalles Bibliográficos
Autores principales: Skovira, Vincent, Ahmed, Maliha, Genese, Thomas O.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Scientific Literature, Inc. 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6202881/
https://www.ncbi.nlm.nih.gov/pubmed/30327452
http://dx.doi.org/10.12659/AJCR.910165
_version_ 1783365775430516736
author Skovira, Vincent
Ahmed, Maliha
Genese, Thomas O.
author_facet Skovira, Vincent
Ahmed, Maliha
Genese, Thomas O.
author_sort Skovira, Vincent
collection PubMed
description Patient: Male, 61 Final Diagnosis: SVC syndrome Symptoms: Dyspnea Medication: — Clinical Procedure: — Specialty: Oncology OBJECTIVE: Unusual clinical course BACKGROUND: Superior vena cava (SVC) syndrome can result from external compression or invasion of the vessel from structural pathology within the mediastinum. Here we present a case of a patient that had no airway compromise, but who had hemodynamic instability due to pulmonary vasculature compression requiring urgent intervention. CASE REPORT: A 61-year-old male who presented with severe dyspnea was found to have newly diagnosed small cell carcinoma of the right lung. The carcinoma compressed the SVC as well as the right pulmonary artery (PA) as seen on computed tomography scanning. He became critically hypoxic and was emergently intubated. Due to the lack of airway compromise, this instance of SVC syndrome was not emergently treated with radiation or chemotherapy. However, he received appropriate treatment while on mechanical ventilatory support and eventually recovered. CONCLUSIONS: SVC syndrome is considered an emergent condition in the setting of airway compromise. With the addition of PA compression, a case’s acuity should be reconsidered. Our case highlights the fact that SVC syndrome can be associated with compression of the right PA, due to its close proximity to the SVC. This can lead to rapid hemodynamic deterioration, thereby increasing the acuity when evaluating a patient with SVC syndrome. We recommend emergent intervention to be taken when a patient develops this combination of SVC syndrome and PA compromise.
format Online
Article
Text
id pubmed-6202881
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher International Scientific Literature, Inc.
record_format MEDLINE/PubMed
spelling pubmed-62028812018-11-16 Superior Vena Cava Syndrome in Conjunction with Pulmonary Vasculature Compromise: A Case Study and Literature Review Skovira, Vincent Ahmed, Maliha Genese, Thomas O. Am J Case Rep Articles Patient: Male, 61 Final Diagnosis: SVC syndrome Symptoms: Dyspnea Medication: — Clinical Procedure: — Specialty: Oncology OBJECTIVE: Unusual clinical course BACKGROUND: Superior vena cava (SVC) syndrome can result from external compression or invasion of the vessel from structural pathology within the mediastinum. Here we present a case of a patient that had no airway compromise, but who had hemodynamic instability due to pulmonary vasculature compression requiring urgent intervention. CASE REPORT: A 61-year-old male who presented with severe dyspnea was found to have newly diagnosed small cell carcinoma of the right lung. The carcinoma compressed the SVC as well as the right pulmonary artery (PA) as seen on computed tomography scanning. He became critically hypoxic and was emergently intubated. Due to the lack of airway compromise, this instance of SVC syndrome was not emergently treated with radiation or chemotherapy. However, he received appropriate treatment while on mechanical ventilatory support and eventually recovered. CONCLUSIONS: SVC syndrome is considered an emergent condition in the setting of airway compromise. With the addition of PA compression, a case’s acuity should be reconsidered. Our case highlights the fact that SVC syndrome can be associated with compression of the right PA, due to its close proximity to the SVC. This can lead to rapid hemodynamic deterioration, thereby increasing the acuity when evaluating a patient with SVC syndrome. We recommend emergent intervention to be taken when a patient develops this combination of SVC syndrome and PA compromise. International Scientific Literature, Inc. 2018-10-17 /pmc/articles/PMC6202881/ /pubmed/30327452 http://dx.doi.org/10.12659/AJCR.910165 Text en © Am J Case Rep, 2018 This work is licensed under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) )
spellingShingle Articles
Skovira, Vincent
Ahmed, Maliha
Genese, Thomas O.
Superior Vena Cava Syndrome in Conjunction with Pulmonary Vasculature Compromise: A Case Study and Literature Review
title Superior Vena Cava Syndrome in Conjunction with Pulmonary Vasculature Compromise: A Case Study and Literature Review
title_full Superior Vena Cava Syndrome in Conjunction with Pulmonary Vasculature Compromise: A Case Study and Literature Review
title_fullStr Superior Vena Cava Syndrome in Conjunction with Pulmonary Vasculature Compromise: A Case Study and Literature Review
title_full_unstemmed Superior Vena Cava Syndrome in Conjunction with Pulmonary Vasculature Compromise: A Case Study and Literature Review
title_short Superior Vena Cava Syndrome in Conjunction with Pulmonary Vasculature Compromise: A Case Study and Literature Review
title_sort superior vena cava syndrome in conjunction with pulmonary vasculature compromise: a case study and literature review
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6202881/
https://www.ncbi.nlm.nih.gov/pubmed/30327452
http://dx.doi.org/10.12659/AJCR.910165
work_keys_str_mv AT skoviravincent superiorvenacavasyndromeinconjunctionwithpulmonaryvasculaturecompromiseacasestudyandliteraturereview
AT ahmedmaliha superiorvenacavasyndromeinconjunctionwithpulmonaryvasculaturecompromiseacasestudyandliteraturereview
AT genesethomaso superiorvenacavasyndromeinconjunctionwithpulmonaryvasculaturecompromiseacasestudyandliteraturereview