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Case Reports

Hybrid Treatment of Superior Vena Cava Syndrome in a Child

^a Department of Cardiovascular Surgery, Congenital Heart Institute, Miami, Florida
^b Department of Cardiology, Congenital Heart Institute, Miami Children's Hospital, Miami, Florida

Accepted for publication December 9, 2008.

^_* Address correspondence to Dr Hannan, Division of Cardiovascular Surgery, Miami Children's Hospital, 3100 SW 62nd Ave, Miami, FL 33155 (Email: rhannan001{at}aol.com).

A 10-year-old boy with a history of renal failure and hemodialysis by indwelling superior vena cava (SVC) catheters was diagnosed with SVC obstruction and clinically severe SVC syndrome. During attempted recanalization of the SVC in the cardiac catheterization laboratory, he suffered a perforation of his SVC with pericardial tamponade. After treatment of the perforation and relief of tamponade, he underwent a hybrid procedure to recanalize his SVC. A needle and then guidewire were passed directly from the right atrium through the SVC obstruction and were used to successfully dilate and stent the obstruction.