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Ann Thorac Surg 2006;82:e41-e42
© 2006 The Society of Thoracic Surgeons

Case Reports

Severe Superior Vena Cava Syndrome after Transvenous Pacemaker Implantation

Hendrik Ruge, MDa,*, Stephen M. Wildhirt, MD, PhDa,*,*, Michael Poerner, MDb, Norbert Mayr, MDa, Robert Bauernschmitt, MD, PhDa, Stefan Martinoff, MDb, Ruediger Lange, MD, PhDa

a Department of Cardiovascular Surgery, German Heart Center Munich, Technical University of Munich, Munich, Germany
b Department of Radiology, German Heart Center Munich, Technical University of Munich, Munich, Germany

Accepted for publication August 14, 2006.

* Address correspondence to Dr Wildhirt, Department of Cardiovascular Surgery, German Heart Center Munich, Technical University of Munich, Lazarettstrasse 36, Munich, 80636 Germany (Email: wildhirt{at}gmx.net).

Superior vena cava syndrome is a rare complication after pacemaker implantation. The present report outlines how underestimation of clinically relevant symptoms of superior vena cava syndrome early after pacemaker implantation may result in severe complication with the need for major surgical intervention. Superior vena cava syndrome should be diagnosed early because immediate thrombolytic therapy is effective in the majority of patients and avoids the requirement for interventional or surgical efforts.




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[Abstract] [Full Text] [PDF]


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