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Perforation of the ascending aorta: a late complication of superior vena cava stenting
U Kappert1, C G Schulz, T Waldow
1Department of Cardiac Surgery, University of Technology Dresden, Dresden, Germany. M.Weber@herzzentrum-dresden.com
Abstract:
Intravascular stenting of the superior vena cava (SVC) is an established therapy in patients with SVC syndrome. Late complications include re-occlusion, stent infection, migration, and perforation. Affection of the greater thoracic vessels is rare and life-threatening when it occurs. We present a case of ascending aorta laceration as a late complication of SVC stenting. Surgical therapy included excision of the aortic lesion and pericardial patch repair. This case illustrates successful management of a complication after palliative stenting of the SVC.
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