Innominate vein-right atrial bypass for relief of superior vena cava syndrome due to pacemaker lead thrombosis

J Card Surg. 2010 Nov;25(6):752-5. doi: 10.1111/j.1540-8191.2010.01136.x. Epub 2010 Oct 11.

Abstract

We present a patient with superior vena cava (SVC) obstruction due to multiple intraluminal pacemaker leads. Previous attempts at balloon dilatation of the SVC and surgical angioplasty did not provide a long-term solution. A Gore-Tex (W. L. Gore & Associates, Flagstaff, AZ, USA) conduit interposed between the innominate vein and right atrial appendage has resulted in symptomatic relief at a follow-up of 6 months.

Publication types

  • Case Reports

MeSH terms

  • Atrial Appendage / surgery*
  • Blood Vessel Prosthesis
  • Blood Vessel Prosthesis Implantation / methods*
  • Brachiocephalic Veins / surgery*
  • Female
  • Follow-Up Studies
  • Humans
  • Middle Aged
  • Pacemaker, Artificial / adverse effects*
  • Polytetrafluoroethylene
  • Superior Vena Cava Syndrome / etiology*
  • Superior Vena Cava Syndrome / surgery*
  • Thrombosis / etiology*
  • Time Factors
  • Treatment Outcome

Substances

  • Polytetrafluoroethylene