Superior vena cava stenosis

Case contributed by David Cuete
Diagnosis certain

Presentation

Dyspnoea, Facial and upper extremity oedema, venous distention in the neck and distended veins in the upper chest and arms. History of long-standing dialysis. Recent infection of the central venous catheter

Patient Data

Age: 60 years
Gender: Male

CT chest

ct
This study is a stack
Axial
non-contrast
This study is a stack
Axial lung
window
This study is a stack
Axial C+ portal
venous phase
This study is a stack
Coronal C+ portal
venous phase
This study is a stack
Sagittal C+ portal
venous phase
Coronal
MIP
This study is a stack
3D
non-contrast
Download
Info

Narrowness and lack of filling of contrast in the superior vena cava and left brachiocephalic vein, thoracic masses no evidence. Multiple thoracic venous collaterals are displayed

Case Discussion

Although neoplasms are the primary cause of the obstruction of the superior vena cava, it has also been associated as complications of CVC and pacemakers.

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