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Updated: May 20, 2026

Catheter-based Endovascular Angioplasty for Fibrosing Mediastinitis-associated Pulmonary Vein Stenosis
Published on: August 26, 2025
Surgical management of superior vena cava syndrome after failed endovascular stenting
Jan M De Raet1, Jan A Vos, Wim J Morshuis
1Department of Cardiothoracic Surgery, St. Antonius Hospital, Nieuwegein, Netherlands. janderaet@hotmail.com
Abstract:
The superior vena cava syndrome encompasses a constellation of symptoms and signs resulting from obstruction of the superior vena cava. We report a successful surgical management after failed endovascular stenting for superior vena cava syndrome, caused by a postradiation fibrosis after conventional radiotherapy for breast cancer. We emphasize the rarity of this uncommon surgical procedure and the bailout procedure for failed angioplasty and intravascular stenting. Key points of superior vena cava syndrome and its management are discussed.
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