Abstract
The vast majority of superior vena cava syndromes are of malignant causes, but with growing use of indwelling central catheters and implanted cardiac devices, benign superior vena cava syndromes are becoming more frequent. We describe a 44-year-old man with a pacemaker implanted 10 years earlier with subsequent replacements who presented to us with superior vena cava syndrome managed surgically. Instrumental diagnostic imaging revealed the presence of large vegetations. Bacteriological examination showed Staphylococcus epidermidis. A surgical approach using cardiopulmonary bypass was used to remove the vegetations. The circulatory arrest allowed for safe and effective removal of both the thrombus and infected pacing leads under visual control without post-procedure complications. The treatment show good results regarding regression of the symptoms and mid-term primary patency.
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About the authors
- Aleksandr V. Novikov, Junior Researcher, Cardiovascular Surgeon, ORCID
- Sergey Yu. Serguladze, Dr. Med. Sc., Senior Researcher, Head of Department, ORCID
- Boris I. Kvasha, Cand. Med. Sc., Сardiovascular Surgeon, ORCID
- Irina V. Pronicheva, Cand. Med. Sc., Senior Researcher, ORCID
- Nadezhda M. Stepanova, Postgraduate, ORCID
