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Journal of Agriculture Food and Development

Global Journal of Angiology - Volume 2

Endovascular Repair of SVC Occlusion Caused by Mediastinal Tumor (Recurrent Thymoma)

Published on: 20 January 2016

Pages: 03-07

Kiriakos Ktenidis, Milka Janjic, Grigorios Voulalas, Alexia Gavriilidou and Argyrios Giannopoulos

Vascular Surgery Department, 1st Propedeutical Surgery Clinic, AHEPA General Hospital, Aristotle University of Thessaloniki, Greece

Abstract:

Purpose: Superior vena cava syndrome (SVCS) is the clinical manifestation of superior vena cava (SVC) obstruction or stenosis. Although thymoma is a common cause of SVCS, there are very few reports in the medical literature. Endovascular treatment has emerged as palliative approach for these patients. We present such a case, caused by invasive thymoma, which was successfully treated by stenting of the SVC.

Case Report:A 73-year old male diagnosed with invasive thymoma, presented with typical signs and symptoms of SVCS. MRI venography showed bilateral occlusion of innominate veins and of the SVC. He was treated by endovascular means with stenting of the left innominate vein resulting in restoration of blood flow and immediate symptom relief.

Conclusion: Immediate and early results after endovascular treatment of SVC syndrome (angioplasty with stenting) are excellent. Considering the severity of the symptoms, the above option is fully recommended for palliative therapy of these patients.

Keywords: Thymoma, Superior Vena Cava Syndrome, Percutaneous transluminal angioplasty.

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