Iatrogenic superior vena cava injury with pericardial contrast leak
This patient is known to have SVC obstruction, underwent SVC recannulization, which was thought to be complicated by injury.
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Contrast media seen in the pericardial space due to complicated attempt for recanlization of the SVC.
The patient had a complicated SVC obstruction recannulization, and injury of the SVC was suspected.
CT scan with IV contrast was done which showed contrast media pooling in the pericardial sac confirming the presumed SVC injury.