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[Superior vena cava syndrome--surgical solution--case report].
1Secţia de Chirurgie Toracică, Institutul de Pneumologie Marius Nasta Bucureşti. nicolae_galie@yahoo.com
Chirurgia (Bucharest, Romania : 1990)
|March 2, 2011
Summary
A 52-year-old smoker presented with superior vena cava syndrome. Surgical removal of a mediastinal adenocarcinoma and clot successfully resolved symptoms, with no relapse at 9 months.
Area of Science:
- Thoracic surgery
- Oncology
- Vascular surgery
Background:
- Superior vena cava (SVC) syndrome often presents with concerning symptoms like dyspnea and edema.
- Mediastinal tumors can compress the SVC, leading to thrombosis and obstruction.
Observation:
- A 52-year-old smoker exhibited symptoms indicative of SVC syndrome.
- Thoracic CT revealed SVC thrombosis and a 30-40 mm mediastinal tumor near the trachea and SVC.
- The patient underwent median sternotomy for tumor excision and SVC clot removal.
Findings:
- Histological diagnosis confirmed a moderately differentiated tubular-papillary adenocarcinoma.
- Postoperative recovery was favorable, with complete remission of SVC syndrome.
- A 9-month follow-up CT showed no local recurrence and normal SVC blood flow.
Implications:
- Complete surgical excision of mediastinal tumors causing SVC syndrome is effective.
- Early diagnosis and intervention can lead to favorable outcomes and symptom resolution.
- This case highlights successful management of SVC syndrome secondary to mediastinal adenocarcinoma.