SUPERIOR VENA CAVA SYNDROME FOR THROMBOSIS THE CENTRAL VENOUS CATHETER, CASE REPORT

Vergara Labrín M.A.; Guevara Cruz M.A.; Aste Salazar H.; Delgado Salazar A.N. · Revista de la Facultad de Medicina Humana (2022) · DOI: 10.25176/rfmh.v22i3.4323

Resumen

Introduction: The Superior Vena Cava Syndrome is a rare entity in the literature. Clinical Case: We present the case of a 32-year-old male patient who consulted the Emergency Department for sudden facial cyanosis, facial tightness, dry cough, odynophagia, dysphonia, without dyspnea. On physical examination: facial and upper extremity edema, central cyanosis, petechiae and nail bleeding on the hands. History of colon neoplasia, with colostomy and placement of left subclavian Port-catheter 2 years ago. The angiotomography shows filling defect for recent thrombosis in left internal jugular vein, right and left brachiocephalic veins, arch of the azygos and superior vena cava in its entire lumen. The neoplastic pathology associated to invasive procedures with central venous catheter increases the risk of presentation, as in our case, with severe intrinsic complete venous obstruction. The surgical treatment with thrombectomy by mechanical aspiration allowed total resection of the thrombus and complete restitution of circulation.