Login | Users Online: 143  
Home Print this page Email this page Small font sizeDefault font sizeIncrease font size   
Home | About us | Editorial board | Search | Ahead of print | Current Issue | Archives | Submit article | Instructions | Subscribe | Advertise | Contact us
 


 
Table of Contents
A PICTURE IS WORTH A THOUSAND WORDS
Year : 2016  |  Volume : 17  |  Issue : 4  |  Page : 164-165  

Superior vena cava syndrome-like phenomenon on vascular access


1 Department of Nephrology, Nakatsugawa City Hospital, Nakatsugawa City, Gifu Prefecture, Japan
2 Department of Emergency Medicine, Nagoya Ekisaikai Hospital, Nagoya, Japan

Date of Web Publication9-Mar-2017

Correspondence Address:
Akihito Tanaka
Department of Nephrology, Nakatsugawa City Hospital, 1522-1 Komaba, Nakatsugawa City, Gifu Prefecture - 508-8502
Japan
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1995-705X.201777

Rights and Permissions

How to cite this article:
Tanaka A, Ito Y. Superior vena cava syndrome-like phenomenon on vascular access. Heart Views 2016;17:164-5

How to cite this URL:
Tanaka A, Ito Y. Superior vena cava syndrome-like phenomenon on vascular access. Heart Views [serial online] 2016 [cited 2017 Mar 25];17:164-5. Available from: http://www.heartviews.org/text.asp?2016/17/4/164/201777

A septuagenarian man who had chronic renal failure was admitted to our hospital for vascular access formation.

He had a past history of thoracic and abdominal aortic aneurysm [Figure 1]. An arteriovenous fistula was made on his left forearm. After operation, the swelling of his forearm did not improve. A month later, he was initiated into hemodialysis therapy. After initiation, we performed vascular access angiography with suspicion of venous stenosis. [Figure 2a] is an angiography of his left subclavian vein during the phase of expiration which shows regurgitation into the cervical vein. The regurgitation occurred along with the edge of aortic aneurysm. [Figure 2b] is also an angiography during the phase of inspiration which did not show regurgitation. Aortic aneurysm sometimes causes superior vena cava (SVC) syndrome by compression of surrounding veins.[1],[2] We considered a similar phenomenon occurred partially during only the phase of expiration. The cause of only partial compression which resulted in forearm swelling was considered to be the increase of blood flow with vascular access.
Figure 1: An image of three-dimensional computed tomography which shows aortic aneurysm. A black arrow shows SVC. A white arrow shows thoracic aneurysm

Click here to view
Figure 2a: An agiography of his left subclavian vein during the phase of expiration. Arrowheads show regurgitation into the cervical vein along with the edge of aortic aneurysm

Click here to view
Figure 2b: An angiography of his left subclavian vein during the phase of inspiration which did not show regurgitation

Click here to view


We should take this phenomenon, not only venous stenosis, into consideration when we see swollen forearm with vascular access.

 
   References Top

1.
Dayan V1, Michelis V, Lorenzo A. Giant aortic aneurysm as a rare cause of superior vena cava syndrome. Ann Thorac Surg 2008; 86:1383.  Back to cited text no. 1
    
2.
Vydt T1, Coddens J, Wellens F. Superior vena cava syndrome caused by a pseudoaneurysm of the ascending aorta. Heart 2005; 91: e29.  Back to cited text no. 2
    


    Figures

  [Figure 1], [Figure 2a], [Figure 2b]



 

Top
 
  Search
 
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Access Statistics
    Email Alert *
    Add to My List *
* Registration required (free)  

 
  In this article
    References
    Article Figures

 Article Access Statistics
    Viewed94    
    Printed0    
    Emailed0    
    PDF Downloaded8    
    Comments [Add]    

Recommend this journal