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Benign superior vena cava syndrome with uncontrolled pleural effusion by calcified mediastinal lymphadenopathy: Surgical management

Title
Benign superior vena cava syndrome with uncontrolled pleural effusion by calcified mediastinal lymphadenopathy: Surgical management
Authors
Lee Y.P.Chun E.M.Kim Y.K.Kim K.C.
Ewha Authors
김유경천은미김관창
SCOPUS Author ID
김유경scopus; 천은미scopus; 김관창scopus
Issue Date
2017
Journal Title
Journal of Thoracic Disease
ISSN
2072-1439JCR Link
Citation
vol. 9, no. 8, pp. E660 - E663
Keywords
Mediastinal lymphadenopathyPleural effusionSuperior vena cava syndrome (SVCS)
Publisher
AME Publishing Company
Indexed
SCIE; SCOPUS WOS scopus
Abstract
This report describes a rare case of benign superior vena cava syndrome (SVCS) accompanying recalcitrant pleural effusion developed secondary to extrinsic compression by anthracotic calcified mediastinal lymphadenopathy which was corrected by surgical bypass graft. An 81-year-old female presented with recalcitrant pleural effusion for several months despite of medical treatments. SVCS developed progressively without any other radiological evidence of malignancy or active infection on initial chest computed tomography (CT). A follow-up chest CT scan taken one month later revealed a poorly-defined mass-like lesion encasing the SVC. Near total collapse of the SVC due to circumferential compression by massive anthracotic calcified lymph nodes was noted in the surgical fields. A bypass graft was performed using an artificial vessel instead of endovascular treatment because of severe adhesion. The abrupt SVCS and uncontrolled pleural effusions completely disappeared after surgical correction. © Journal of Thoracic Disease.
DOI
10.21037/jtd.2017.06.51
Appears in Collections:
의과대학 > 의학과 > Journal papers
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