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Case Reports in Cardiology
Volume 2014 (2014), Article ID 490276, 3 pages
Case Report

Successful Venous Angioplasty of Superior Vena Cava Syndrome after Heart Transplantation

1Center of Cardiac Surgery, Friedrich-Alexander-University Erlangen-Nuremberg, Krankenhausstraße 12, 91054 Erlangen, Germany
2Department of Radiology, Friedrich-Alexander-University Erlangen-Nuremberg, Erlangen, Germany
3Institute of Pathology, Friedrich-Alexander-University Erlangen-Nuremberg, Erlangen, Germany

Received 29 May 2014; Accepted 10 July 2014; Published 3 August 2014

Academic Editor: Hajime Kataoka

Copyright © 2014 Thomas Strecker et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Introduction. For patients with terminal heart failure, heart transplantation (HTX) has become an established therapy. Before transplantation there are many repeated measurements with a pulmonary artery catheter (PAC) via the superior vena cava (SVC) necessary. After transplantation, endomyocardial biopsy (EMB) is recommended for routine surveillance of heart transplant rejection again through the SVC. Case Presentation. In this report, we present a HTX patient who developed a SVC syndrome as a possible complication of all these procedures via the SVC. This 35-year-old Caucasian male could be successfully treated by balloon dilatation/angioplasty. Conclusion. The SVC syndrome can lead to pressure increase in the venous system such as edema in the head and the upper part of the body and further serious complications like cerebral bleeding and ischemia, or respiratory problems. Balloon angioplasty and stent implantation are valid methods to treat stenoses of the SVC successfully.