Superior Vena Cava Syndrome in Thoracic Malignancies.

The superior vena cava syndrome (SVCS) comprises various symptoms due to occlusion of the SVC, which can be easily obstructed by pathological conditions (eg, lung cancer, due to the low internal venous pressure within rigid structures of the thorax [trachea, right bronchus, aorta]). The resulting in...

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Detalles Bibliográficos
Publicado en:Respiratory Care Vol. 56; no. 5; pp. 653 - 667
Autores principales: Lepper, Philipp M., Ott, Sebastian R., Hoppe, Hanno, Schumann, Christian, Stammberger, Uz, Bugalho, Antonio, Frese, Steffen, Schmücking, Michael, Blumstein, Norbert M., Diehm, Nicolas, Bals, Robert, Hamacher, Jürg
Formato: diagnostic images pictorial review tables/charts Journal Article
Publicado: Mary Ann Liebert, Inc. May2011
Acceso en línea:Ver este registro en EBSCOhost
Descripción
Sumario:The superior vena cava syndrome (SVCS) comprises various symptoms due to occlusion of the SVC, which can be easily obstructed by pathological conditions (eg, lung cancer, due to the low internal venous pressure within rigid structures of the thorax [trachea, right bronchus, aorta]). The resulting increased venous pressure in the upper body may cause edema of the head, neck, and upper extremities, often associated with cyanosis, plethora, and distended subcutaneous vessels. Despite the often striking clinical presentation, SVCS itself is usually not a life-threatening condition. Currently, randomized controlled trials on many clinically important aspects of SVCS are lacking. This review gives an interdisciplinary overview of the pathophysiology, etiology, clinical manifestations, diagnosis, and treatment of malignant SVCS.