Superior Vena Cava Syndrome After Orthotopic Heart Transplantation

Pratik Velangi; Forum Kamdar; Ranjit John; K. Joshua Wong; Bhavadharini Ramu; Tamas Alexy

doi:10.7326/aimcc.2024.0217

Superior Vena Cava Syndrome After Orthotopic Heart Transplantation

Pratik Velangi, Forum Kamdar, Ranjit John, K. Joshua Wong, Bhavadharini Ramu, Tamas Alexy

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Abstract

Superior vena cava syndrome is a constellation of clinical signs and symptoms resulting from the obstruction of blood flow through the superior vena cava. Although it rarely occurs in the setting of orthotopic heart transplantation, here we report a case that developed in the early postoperative setting. Our goal is to raise awareness of this entity, given the associated high fatality rate and potential challenges of timely recognition in the setting of sedation and mechanical ventilation.

Original language	English (US)
Article number	e240217
Journal	Annals of Internal Medicine Clinical Cases
Volume	3
Issue number	10
DOIs	https://doi.org/10.7326/aimcc.2024.0217
State	Published - Oct 2024

Bibliographical note

Publisher Copyright:
© 2024 Authors.

Keywords

Advanced heart failure
Cardiac transplantation
Cardiothoracic surgery
Edema
Heart trasplant
Hemodynamics
Implantable cardioverter defibrillators
Signs and symptoms
Superior vena cava syndrome
Surgery
Thrombosis
Veins
Ventilators

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AU - Velangi, Pratik

AU - Kamdar, Forum

AU - John, Ranjit

AU - Wong, K. Joshua

AU - Ramu, Bhavadharini

AU - Alexy, Tamas

PY - 2024/10

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N2 - Superior vena cava syndrome is a constellation of clinical signs and symptoms resulting from the obstruction of blood flow through the superior vena cava. Although it rarely occurs in the setting of orthotopic heart transplantation, here we report a case that developed in the early postoperative setting. Our goal is to raise awareness of this entity, given the associated high fatality rate and potential challenges of timely recognition in the setting of sedation and mechanical ventilation.

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KW - Advanced heart failure

KW - Cardiac transplantation

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KW - Edema

KW - Heart trasplant

KW - Hemodynamics

KW - Implantable cardioverter defibrillators

KW - Signs and symptoms

KW - Superior vena cava syndrome

KW - Surgery

KW - Thrombosis

KW - Veins

KW - Ventilators

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Superior Vena Cava Syndrome After Orthotopic Heart Transplantation

Abstract

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