ABSTRACT
El síndrome de vena cava superior (SVCS) resulta de la obstrucción de la vena cava superior, que origina una disminución del retorno venoso procedente de cabeza, cuello y extremidades superiores. Aunque la causa más frecuente siguen siendo procesos tumorales malignos, en los últimos años hemos visto un aumento de causas no tumorales, como trombosis de dispositivos intravasculares permanentes o causas iatrogénicas durante la cirugía cardiaca. Presentamos un caso de SVCS tras cirugía cardiaca tratado de forma satisfactoria mediante técnica endovascular y anticoagulación sistémica
Superior vena cava syndrome (SVCS) results from superior vena cava obstruction, causing a decrease in venous return from the head, neck, and upper extremities. Although the most frequent cause is still malignant tumour processes, in recent years an increase has been observed in non-tumour causes, such as thrombosis of intravascular devices or iatrogenic causes during cardiac surgery. A case is presented of SVCS after cardiac surgery treated satisfactorily by an endovascular technique and systemic anticoagulation
Subject(s)
Humans , Female , Aged, 80 and over , Superior Vena Cava Syndrome/surgery , Endovascular Procedures/methods , Heart Valve Prosthesis Implantation/methods , Aortic Valve Insufficiency/surgery , Mitral Valve Insufficiency/surgery , Postoperative Complications/surgery , Superior Vena Cava Syndrome/etiology , Anticoagulants/therapeutic use , Iatrogenic DiseaseABSTRACT
La trombosis intracardíaca es una complicación poco frecuente en los pacientes que reciben asistencia hemodinámica mediante una membrana de oxigenación extracorpórea venoarterial (ECMO-VA), pero conlleva una elevada mortalidad. Este caso clínico describe un paciente que tuvo un shock cardiogénico tras un infarto agudo de miocardio con elevación del ST (IAMCEST) y que presentó trombosis intracardíaca durante la asistencia con ECMO-VA en 2 ocasiones: la primera en relación con la colocación de una prótesis mitral mecánica y la segunda tras el recambio por una prótesis mitral biológica
Intracardiac thrombosis is a rare complication in patients receiving haemodynamic support with venous-arterial extracorporeal membrane oxygenation (VA-ECMO), but it has a high risk of mortality. This case report describes a patient who suffered cardiogenic shock after a ST-segment elevation myocardial infarction (STEMI) and who presented with intracardiac thrombosis during VA-ECMO support on two occasions after mitral valve replacement. The first one was after the insertion of a mechanical prosthesis, and the second, after replacing it with a biological valve
Subject(s)
Humans , Male , Aged , Thrombosis/etiology , Extracorporeal Membrane Oxygenation/adverse effects , Shock, Cardiogenic/etiology , ST Elevation Myocardial Infarction/complications , Mitral Valve Insufficiency/complications , Heart Valve Prosthesis Implantation/adverse effects , Thrombocytopenia/complicationsABSTRACT
Superior vena cava syndrome (SVCS) results from superior vena cava obstruction, causing a decrease in venous return from the head, neck, and upper extremities. Although the most frequent cause is still malignant tumour processes, in recent years an increase has been observed in non-tumour causes, such as thrombosis of intravascular devices or iatrogenic causes during cardiac surgery. A case is presented of SVCS after cardiac surgery treated satisfactorily by an endovascular technique and systemic anticoagulation.
Subject(s)
Anticoagulants/therapeutic use , Endovascular Procedures/methods , Heart Valve Prosthesis Implantation/adverse effects , Postoperative Complications/therapy , Superior Vena Cava Syndrome/therapy , Aged, 80 and over , Aortic Valve/surgery , Aortic Valve Stenosis/surgery , Brachiocephalic Veins/diagnostic imaging , Brachiocephalic Veins/injuries , Female , Humans , Iatrogenic Disease , Intraoperative Complications/diagnostic imaging , Intraoperative Complications/etiology , Mitral Valve/surgery , Mitral Valve Insufficiency/surgery , Postoperative Complications/diagnostic imaging , Superior Vena Cava Syndrome/diagnostic imaging , Thrombosis/diagnostic imaging , Vena Cava, Superior/diagnostic imaging , Vena Cava, Superior/injuriesABSTRACT
Intracardiac thrombosis is a rare complication in patients receiving haemodynamic support with venous-arterial extracorporeal membrane oxygenation (VA-ECMO), but it has a high risk of mortality. This case report describes a patient who suffered cardiogenic shock after a ST-segment elevation myocardial infarction (STEMI) and who presented with intracardiac thrombosis during VA-ECMO support on two occasions after mitral valve replacement. The first one was after the insertion of a mechanical prosthesis, and the second, after replacing it with a biological valve.
