Table of Contents Author Guidelines Submit a Manuscript
Case Reports in Emergency Medicine
Volume 2013, Article ID 793054, 3 pages
http://dx.doi.org/10.1155/2013/793054
Case Report

Thrombogenic Catheter-Associated Superior Vena Cava Syndrome

Department of Emergency Medicine, The Ohio State University Medical Center, 750 Prior Hall, 376 W 10th Avenue, Columbus, OH 43210, USA

Received 26 July 2013; Accepted 13 September 2013

Academic Editors: H. David, C. C. Lai, W. Mauritz, and M. Smith

Copyright © 2013 Imran Shaikh 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.

Abstract

Superior vena cava syndrome has historically been associated with malignancy. With the increasing use of indwelling central lines, catheters, and pacemakers in the past decade, there have been an increasing number of cases associated with thrombosis rather than by direct external compression. Patients presenting to the ED with an acute process of SVC syndrome need to be assessed in a timely fashion. Computed tomography angiography (CTA) or magnetic resonance angiogram (MRA) are superb modalities for diagnosis and can quickly be used in the ED. Treatment is oriented towards the underlying cause of the syndrome. In cases of thrombogenic catheter-associated SVC syndrome, anticoagulation is the mainstay of treatment. We present a case report and discussion of a 56-year-old male with a history of metastatic colorectal cancer and an indwelling central venous port with acute signs and symptoms of superior vena cava syndrome.