Central venous catheter-related superior vena cava syndrome following renal transplantation: A case report / 대한마취과학회지
Korean Journal of Anesthesiology
; : 550-554, 2012.
Article
em En
| WPRIM
| ID: wpr-36165
Biblioteca responsável:
WPRO
ABSTRACT
A 55-year-old man with end-stage renal disease had severe left ventricular dysfunction and a history of deep vein thrombosis. He underwent renal transplantation, during which a central venous catheter was inserted into the right jugular vein. The central venous pressure (CVP) exceeded 20 mmHg throughout the operation but there was no other adverse event. After surgery, although the left ventricular dysfunction improved, the CVP remained high. On postoperative day 10, the patient presented with cyanosis of the arms and redness of the face and was diagnosed with superior vena cava (SVC) syndrome, for which he underwent emergency thrombectomy and SVC reconstruction. The clinical course of this patient suggests that his end-stage renal disease-associated hypercoagulable state may have promoted thrombus formation. Moreover, placing the central venous catheter tip too deep may have encouraged thrombus formation. Repositioning the tip may have prevented this complication.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Braço
/
Trombose
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Veia Cava Superior
/
Síndrome da Veia Cava Superior
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Pressão Venosa Central
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Transplante de Rim
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Trombectomia
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Disfunção Ventricular Esquerda
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Trombose Venosa
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Cianose
Limite:
Humans
Idioma:
En
Revista:
Korean Journal of Anesthesiology
Ano de publicação:
2012
Tipo de documento:
Article