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Immediate Postoperative Percutaneous Stenting of Superior Vena Cava Obstruction Following Heart Transplantation in Adult Patients with Pacemaker Leads
Author(s) -
Asseff David,
Sheikh Ahmad Y.,
Sze Daniel,
Ha Richard,
Hofmann Lawrence,
van der Starre Pieter J.A.
Publication year - 2014
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.12387
Subject(s) - medicine , superior vena cava , complication , superior vena cava syndrome , balloon , percutaneous , heart transplantation , angioplasty , surgery , stent , pulmonary edema , transplantation , inferior vena cava , cardiology , radiology , lung
Vena cava superior syndrome is a serious complication after heart transplantation, leading to low cardiac output, cerebral edema, and multi‐organ dysfunction. We report three adult patients who underwent heart and heart–lung transplantation and required immediate postoperative balloon angioplasty and stent placement by interventional radiology. The observed obstructions were located at sites of intraoperatively removed pacemaker or defibrillator wires. Percutaneous stent placement immediately improved the hemodynamic condition of the patients. Early recognition of the complication and availability of immediate intervention are essential to prevent further deterioration. doi: 10.1111/jocs.12387 (J CardSurg2014;29:733–736)