Year : 2013  |  Volume : 16  |  Issue : 2  |  Page : 133--136

An unusual cause of intraoperative acute superior vena cava syndrome


Adam W Amundson, Juan N Pulido, Geoffrey L Hayward 
 Department of Anesthesiology, Mayo Clinic College of Medicine, Rochester, MN

Correspondence Address:
Adam W Amundson
200 1st St SW, Rochester, MN 55905

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.


How to cite this article:
Amundson AW, Pulido JN, Hayward GL. An unusual cause of intraoperative acute superior vena cava syndrome.Ann Card Anaesth 2013;16:133-136


How to cite this URL:
Amundson AW, Pulido JN, Hayward GL. An unusual cause of intraoperative acute superior vena cava syndrome. Ann Card Anaesth [serial online] 2013 [cited 2020 Oct 23 ];16:133-136
Available from: https://www.annals.in/article.asp?issn=0971-9784;year=2013;volume=16;issue=2;spage=133;epage=136;aulast=Amundson;type=0