Alaa SABRY, Azeb MOLHEM, Ahmed YEHIA, Hassan BAWADEKJI, Khalid AL SARAN

Superior vena caval thrombosis in haemodialysis patient

Süperiyor vena kava (SVK)’daki kan akımının engellenmesi SVK sendromunun belirti ve bulguları ile sonuçlanır. SVK obstrüksiyonu, sağ kalbi, lenf nodlarını ve diğer mediasten yapılarını tutan bulaşıcı bir patolojik sürecin SVK’ya dıştan basısı veya invazyonu ile veya SVK içindeki kanın trombozu nedeniyle oluşabilir. Nadiren her iki mekanizma birlikte olabilir. Bu vakada 28 yaşında son dönem böbrek yetmezliği tanılı ve 10 aydır sağ jugular ven dual lümen katateri ile düzenli hemodiyaliz uygulanan bir Suudi erkek olguyu sunduk. Üç yıl sonra hasta SVK tıkanıklığını düşündüren belirti ve bulgularla başvurdu ve SVK stenti ile başarıyla tedavi edildi.

Hemodiyaliz hastasında süperiyor vena kava trombozu

Obstruction of blood flow in the superior vena cava (SVC) results in symptoms and signs of SVC syndrome. SVC obstruction can be caused either by invasion or external compression of the SVC by contagious pathologic processes involving the right lung, lymph nodes, and other mediastinal structures, or by thrombosis of blood within the SVC. Occasionally, both mechanisms co-exist. We hereby report a case of a 28 year old Saudi male patient who was diagnosed with End Stage Renal Disease (ESRD) and was maintained on regular hemodialysis via right jugular vein dual lumen catheter for 10 months. Three years later, the patient presented with signs and symptoms suggestive of SVC obstruction that was successfully managed with SVC stenting.

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