Superior Cava Venous syndrome as presentation of neoplasic disease

Authors

  • M Pérez Maure
  • G Subils
  • R Peresin Paz
  • A Cazaux
  • V H Cambursano
  • J R Cortes

DOI:

https://doi.org/10.31053/1853.0605.v70.n4.7407

Keywords:

Síndrome de Vena Cava Superior

Abstract


Superior Cava Venous Syndrome (SVCS) encompasses a constellation of signs
and symptoms resulting from partial or complete obstruction of blood flow through the superior vena cava (SVC) to the right atrium. Thrombosis can be caused by intrinsic (primary) or extrinsic compression (with or without secondary thrombosis).
The causes of SVCS can be grouped according to their etiology in non-neoplastic and neoplastic. The causes malignant correspond to 65-90% of them, thrombosis and nonmalignant conditions are another causes.
The presentation may be acute, clinically characterized by dyspnea and a characteristic triad (facial, neck and arms edema, cyanosis and collateral  circulation).
Early detection improves prognosis and is based on clinical data and imaging studies.
We describe 8 cases where the SVCS was the first manifestation of neoplastic
diseases. Patients were predominantly of middle-aged, male, without association with consumption of tobacco and lymphoma was most frequent diagnosis

Downloads

Download data is not yet available.

Author Biographies

  • M Pérez Maure
    Neumonología. Clínica Médica. Hospital Rawson. Córdoba, Argentina
  • G Subils
    Neumonología. Clínica Médica. Hospital Rawson. Córdoba, Argentina
  • R Peresin Paz
    Neumonología. Clínica Médica. Hospital Rawson. Córdoba, Argentina
  • A Cazaux
    Neumonología. Clínica Médica. Hospital Rawson. Córdoba, Argentina
  • V H Cambursano
    Neumonología. Clínica Médica. Hospital Rawson. Córdoba, Argentina
  • J R Cortes
    Neumonología. Clínica Médica. Hospital Rawson. Córdoba, Argentina

References

1) De Las Heras García M, Jiménez Gordo AM, Casado E; Síndrome de la Vena Cava Superior, presentación de seis casos. Ann Med. Interna. 2001;18:369-372.

2) Lynn D, Wilson FC, Detterbeck, Joachim Y. Superior Vena Cava Syndrome with Malignant Causes. N Engl J Med 2007;356:1862-1869.

3) Levatti VE, Romero Valdez G: síndrome de la vena cava superior: revisión bibliográfica. Revista de Posgrado de la VIa Catedra de Medicina 147: 26-28, 2005

4) Rice TW, Rodriguez RM, Light RW. The superior vena cava syndrome: clinical characteristics and evolving etiology. Medicine (Baltimore); 85:37-42.

5) Uptodate. Reed E Drews, MD. Dmitry J Rabkin, .Superior vena cava syndrome. [sede web]. Sept 30, 2011. Uptodate, Waltham, Massachusetts. http://www.uptodate.com/

6) Gulcap R, Dutcher J. Urgencias Oncológicas. En Harrison Eds. Principios de Medicina Interna. 16° edición. México: Ed McGraw Hill Interamericana; 2005, pp. 646-655.

7) Escribano P, Ramos Seisdedos G; Medicina Respiratoria 2ª edición; Sociedad Española de Neumonología y Cirugía Torácica; 2006; pp. 1092-1093

8) Vargas CA, Martínez I. Síndrome de Vena cava superior. Guía para manejo de urgencias. Federación Panamericana de asociaciones de Facultades y Escuelas de Medicina Octubre de 2004;19:1503- 1506

9) Del Campo C, Stambuk E. Superior Vena Cava Syndrome with Endovascular Stenting. Texas Heart Institute Journal. 2002;29: 218-219,.

10) Amalia Talens, Salvador Ferrer, Alfonso González-Cruz, Esther Blanco, Luis García- Ferrer, Vega Iranzo, Carlos Campos. Tratamiento inicial del síndrome de vena cava superior mediante endoprótesis. Med Clin (Barc) 2012;140:59-65.

11) McCurdy MT, Shanholtz CB. Oncologic emergencies. Crit Care Med 2012;40:2212-22.

12) Lepper PM, Ott SR, Hoppe H, Schumann C, Stammberge U, Bugalho A, et al. Superior vena cava syndrome in thoracic malignancies. Respir Care 2011;56:653-66.

Downloads

Published

2013-12-01

Issue

Section

Literature Reviews

How to Cite

1.
Pérez Maure M, Subils G, Peresin Paz R, Cazaux A, Cambursano VH, Cortes JR. Superior Cava Venous syndrome as presentation of neoplasic disease. Rev Fac Cien Med Univ Nac Cordoba [Internet]. 2013 Dec. 1 [cited 2024 Nov. 25];70(4):226-31. Available from: https://revistas.unc.edu.ar/index.php/med/article/view/7407

Similar Articles

11-20 of 1960

You may also start an advanced similarity search for this article.

Most read articles by the same author(s)