Adam W Amundson, Juan N Pulido, Geoffrey L Hayward
Department of Anesthesiology, Mayo Clinic College of Medicine, Rochester, MN
Acute intraoperative superior vena cava (SVC) syndrome is an exceedingly rare complication in the cardiac surgical population. We describe the case of a 71-year-old female undergoing multi-vessel coronary artery bypass grafting who developed acute intraoperative SVC syndrome following internal thoracic artery harvest retractor placement. Her symptoms included severe plethora, facial engorgement and scleral edema, which was associated with hypotension and severe elevation of central venous pressure. Transesophageal echocardiography was crucial in the diagnosis, management, and optimal retractor placement ensuring adequate SVC flow. Potential causes of intraoperative SVC syndrome are reviewed as well as management options.
Adam W Amundson
200 1st St SW, Rochester, MN 55905
Source of Support: None, Conflict of Interest: None
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