Superior vena cava syndrome due to pacemaker leads: an Indian report with a review of management practices
Superior vena cava [SVC] syndrome due to pacemaker leads is a distinct diagnostic rarity. It is diagnosed clinically based on constellation of signs and symptoms supported by imaging evidence of SVC obstruction. A 70-year-old male, an ex-smoker, presented with facial and upper limb swelling along wi...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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PAGEPress Publications
2019-04-01
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| Series: | Monaldi Archives for Chest Disease |
| Subjects: | |
| Online Access: | https://www.monaldi-archives.org/index.php/macd/article/view/977 |
| _version_ | 1819119043913711616 |
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| author | Shekhar Kunal Vijay Pathak Pooja Pathak |
| author_facet | Shekhar Kunal Vijay Pathak Pooja Pathak |
| author_sort | Shekhar Kunal |
| collection | DOAJ |
| description | Superior vena cava [SVC] syndrome due to pacemaker leads is a distinct diagnostic rarity. It is diagnosed clinically based on constellation of signs and symptoms supported by imaging evidence of SVC obstruction. A 70-year-old male, an ex-smoker, presented with facial and upper limb swelling along with exertional dyspnea. He had undergone transvenous dual chamber rate modulated [DDDR] pacemaker implantation four years back for symptomatic sinus node dysfunction. Imaging demonstrated a hypodense-filling defect in the SVC causing 70-80% luminal narrowing along with presence of collaterals. Patient was managed on anticoagulants and planned for SVC stenting with epicardial pacing which failed. Patient refused to undergo further any further treatment and was subsequently lost to follow-up. To the best of our knowledge, this is the first detailed description of SVC syndrome due to pacemaker leads from India, which was managed medically. |
| first_indexed | 2024-12-22T05:58:30Z |
| format | Article |
| id | doaj.art-01b5241166dd4a2382c808759d6de1ca |
| institution | Directory Open Access Journal |
| issn | 1122-0643 2532-5264 |
| language | English |
| last_indexed | 2024-12-22T05:58:30Z |
| publishDate | 2019-04-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Monaldi Archives for Chest Disease |
| spelling | doaj.art-01b5241166dd4a2382c808759d6de1ca2022-12-21T18:36:36ZengPAGEPress PublicationsMonaldi Archives for Chest Disease1122-06432532-52642019-04-0189110.4081/monaldi.2019.977Superior vena cava syndrome due to pacemaker leads: an Indian report with a review of management practicesShekhar Kunal0Vijay Pathak1Pooja Pathak2Department of Cardiology, Sawai Man Singh Medical College, JaipurDepartment of Cardiology, Sawai Man Singh Medical College, JaipurLady Health Officer, NIMS Medical College, JaipurSuperior vena cava [SVC] syndrome due to pacemaker leads is a distinct diagnostic rarity. It is diagnosed clinically based on constellation of signs and symptoms supported by imaging evidence of SVC obstruction. A 70-year-old male, an ex-smoker, presented with facial and upper limb swelling along with exertional dyspnea. He had undergone transvenous dual chamber rate modulated [DDDR] pacemaker implantation four years back for symptomatic sinus node dysfunction. Imaging demonstrated a hypodense-filling defect in the SVC causing 70-80% luminal narrowing along with presence of collaterals. Patient was managed on anticoagulants and planned for SVC stenting with epicardial pacing which failed. Patient refused to undergo further any further treatment and was subsequently lost to follow-up. To the best of our knowledge, this is the first detailed description of SVC syndrome due to pacemaker leads from India, which was managed medically.https://www.monaldi-archives.org/index.php/macd/article/view/977Superior vena cava syndromepacemaker leadsthrombosisanticoagulantsballoon angioplasty |
| spellingShingle | Shekhar Kunal Vijay Pathak Pooja Pathak Superior vena cava syndrome due to pacemaker leads: an Indian report with a review of management practices Monaldi Archives for Chest Disease Superior vena cava syndrome pacemaker leads thrombosis anticoagulants balloon angioplasty |
| title | Superior vena cava syndrome due to pacemaker leads: an Indian report with a review of management practices |
| title_full | Superior vena cava syndrome due to pacemaker leads: an Indian report with a review of management practices |
| title_fullStr | Superior vena cava syndrome due to pacemaker leads: an Indian report with a review of management practices |
| title_full_unstemmed | Superior vena cava syndrome due to pacemaker leads: an Indian report with a review of management practices |
| title_short | Superior vena cava syndrome due to pacemaker leads: an Indian report with a review of management practices |
| title_sort | superior vena cava syndrome due to pacemaker leads an indian report with a review of management practices |
| topic | Superior vena cava syndrome pacemaker leads thrombosis anticoagulants balloon angioplasty |
| url | https://www.monaldi-archives.org/index.php/macd/article/view/977 |
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