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Superior vena cava syndrome presenting as chylothorax.
Ariel Ruiz de Villa1,2, Omar Obeidat1,2, Austin B Auyeung1,2
1University of Central Florida College of Medicine, Graduate Medical Education 6850 Lake Nona Blvd, Orlando, FL 32827, USA.
Radiology Case Reports
|September 4, 2023
Summary
A rare cause of chylothorax, superior vena cava (SVC) syndrome from a hemodialysis catheter, was successfully treated with veno-plasty and catheter replacement. This case highlights a multidisciplinary approach for this life-threatening condition.
Area of Science:
- Cardiology
- Nephrology
- Thoracic Surgery
Background:
- Superior vena cava (SVC) syndrome is a rare complication.
- Chylothorax is a potentially life-threatening condition.
Observation:
- A 27-year-old female with end-stage renal disease developed chylothorax.
- SVC syndrome was caused by venous stenosis from a tunneled hemodialysis catheter.
- Symptoms included dyspnea and chest pain with a large pleural effusion.
Findings:
- Multidisciplinary workup confirmed SVC stenosis due to the hemodialysis catheter.
- Diagnostic tools included thoracentesis, pleural fluid analysis, imaging, and cardiac catheterization.
- SVC stenosis was the cause of the patient's chylothorax.
Implications:
- Successful treatment involved veno-plasty of SVC and brachiocephalic veins and hemodialysis catheter replacement.
- This approach resolved the chylothorax and improved respiratory symptoms.
- Highlights the importance of a multidisciplinary approach in diagnosing and managing rare complications of medical devices.
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