Iatrogenic superior vena cava injury with pericardial contrast leak

Case contributed by Abdallah Alqudah
Diagnosis certain

Presentation

This patient is known to have SVC obstruction, underwent SVC recannulization, which was thought to be complicated by injury.

Patient Data

Age: 35 year old
Gender: Male

Contrast media seen in the pericardial space due to complicated attempt for recanlization of the SVC.

Case Discussion

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.

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