Saudi Journal of Kidney Diseases and Transplantation

CASE REPORT
Year
: 2003  |  Volume : 14  |  Issue : 2  |  Page : 186--189

The Superior Vena Cava Syndrome: Late Presentation after Hemodialysis Catheter Removal


Nabieh Al-Hilali1, Mangalathillam RN Nampoory1, Vadakethu T Ninan1, Fawzia MY Hussein2, Jaber H Ali1, Mahmoud Samhan3, Kaivilayil V Johny4 
1 Department of Medicine, Mubarak AI-Kabeer Hospital, Kuwait
2 Department of Radiology, Mubarak AI-Kabeer Hospital, Kuwait
3 Hamed Al Essa Organ Transplant Center, Kuwait
4 Department of Medicine, Faculty of Medicine, Kuwait University, Kuwait

Correspondence Address:
Mangalathillam RN Nampoory
P.O. Box 1427, Hawally 32015
Kuwait

The superior vena cava (SVC) syndrome is due to obstruction of the SVC and may present by dyspnea, chest pain, cough, headache, dysphasia, and symptoms of increased intracranial pressure; however, the affected patients can be asymptomatic. Numerous collateral veins are often seen on the upper chest, arms and neck. The syndrome may be caused by prolonged use of indwelling catheters, but is an infrequently reported complication in the hemodialysis patients. We report two patients who developed SVC syndrome several months after removal of hemodialysis indwelling catheters. The causes of this syndrome in our patients were stenosis in one patient and thrombosis in the other; venous endothelial injury and subnormal levels of protein C and S were possible contributory factors. These cases illustrate that SVC syndrome is a possible late complication after removal of hemodialysis indwelling catheters.


How to cite this article:
Al-Hilali N, Nampoory MR, Ninan VT, Hussein FM, Ali JH, Samhan M, Johny KV. The Superior Vena Cava Syndrome: Late Presentation after Hemodialysis Catheter Removal.Saudi J Kidney Dis Transpl 2003;14:186-189


How to cite this URL:
Al-Hilali N, Nampoory MR, Ninan VT, Hussein FM, Ali JH, Samhan M, Johny KV. The Superior Vena Cava Syndrome: Late Presentation after Hemodialysis Catheter Removal. Saudi J Kidney Dis Transpl [serial online] 2003 [cited 2019 Aug 17 ];14:186-189
Available from: http://www.sjkdt.org/article.asp?issn=1319-2442;year=2003;volume=14;issue=2;spage=186;epage=189;aulast=Al-Hilali;type=0