Arq Bras Cardiol: Imagem cardiovasc. 2023; 36(2): e20230028

Transesophageal Echocardiogram in the Diagnosis of Superior Vena Cava Syndrome in a Patient With a Long-Term Catheter

Marcus Vinicius Silva Freire de , Endy de Santana , Laila Caroline , Carolina Thé , Marco André Moraes , Alexandre Costa

DOI: 10.36660/abcimg.20230028i

Introduction

The superior vena cava syndrome (SVCS) is caused by the obstruction or severe occlusion of the superior vena cava (SVC) and can result in significant morbidity or mortality., Malignancy is the most common cause of this obstruction, corresponding to approximately 70% of the cases. However, more recently, the incidence of SVCS related to devices, such as central venous catheters and electrodes of a pacemaker or defibrillator, have increased.,

These devices, together with states of hypercoagulability, can precipitate the formation of thrombi. In extreme situations, in the context of bacteremia, these can lead to the formation of a complex thrombus-vegetation association.

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Transesophageal Echocardiogram in the Diagnosis of Superior Vena Cava Syndrome in a Patient With a Long-Term Catheter

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