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Case Report

Superior vena cava syndrome after open heart surgery

H.J. Maggiano, MD, Thomas L. Higgins, MD, W. Lobo, MD, G. Makos, MD and Leonard A. R. Golding, MD
Cleveland Clinic Journal of Medicine January 1992, 59 (1) 93-95;
H.J. Maggiano
Department of Neurology, The Cleveland Clinic Foundation.
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Thomas L. Higgins
Department of Cardiothoracic Anesthesia, The Cleveland Clinic Foundation.
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W. Lobo
Department of Cardiothoracic Anesthesia, The Cleveland Clinic Foundation.
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G. Makos
Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation.
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Leonard A. R. Golding
Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation.
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ABSTRACT

Superior vena cava syndrome is an uncommon complication of open heart surgery. While both cardiac tamponade and superior vena cava syndrome may present as elevated central venous pressure accompanied by decreased mean arterial pressure and cardiac output, the presence of upper body cyanosis is unusual with tamponade. We report the diagnosis and successful emergency treatment of a patient with acute superior vena cava syndrome and dyspnea apparently caused by a pericardial hematoma developing after aortic valve replacement and coronary artery bypass grafting.

INDEX TERMS
  • Superior Vena Cava Syndrome
  • Coronary Artery Bypass
  • Heart Valve Prothesis
  • Cardiac Tamponade
  • Copyright © 1992 The Cleveland Clinic Foundation. All Rights Reserved.
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Cleveland Clinic Journal of Medicine
Vol. 59, Issue 1
1 Jan 1992
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Superior vena cava syndrome after open heart surgery
H.J. Maggiano, Thomas L. Higgins, W. Lobo, G. Makos, Leonard A. R. Golding
Cleveland Clinic Journal of Medicine Jan 1992, 59 (1) 93-95;

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Superior vena cava syndrome after open heart surgery
H.J. Maggiano, Thomas L. Higgins, W. Lobo, G. Makos, Leonard A. R. Golding
Cleveland Clinic Journal of Medicine Jan 1992, 59 (1) 93-95;
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Keywords

  • Superior Vena Cava Syndrome
  • Coronary Artery Bypass
  • Heart Valve Prothesis
  • Cardiac Tamponade

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