| Unusual cause of acute right ventricular dysfunction: rapid progression of superior vena cava aneurysm complicated by thrombosis and pulmonary thromboembolism. | |
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MedLine Citation:
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PMID: 21532864 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Aneurysms of the major thoracic veins are rare. They are usually asymptomatic and thus treated conservatively. We report an extremely rare case of rapidly progressing superior vena cava (SVC) aneurysm complicated by thrombosis and acute pulmonary thromboembolism (PTE) with right ventricular dysfunction. Thrombolytic therapy for hemodynamically significant acute PTE was harmful to the patient in the present case, because it induced further thrombosis and mobilization of the thrombi within the aneurysm, subsequently causing de novo PTE. Surgical aneurysmectomy combined with pulmonary artery embolectomy would be a treatment of choice in patients with SVC aneurysm complicated by acute PTE. |
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Authors:
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Sang Gi Oh; Kye Hun Kim; Hyun Ju Seon; Hyun Ju Yoon; Youngkeun Ahn; Myung Ho Jeong; Jeong Gwan Cho; Jong Chun Park; Jung Chaee Kang |
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Publication Detail:
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Type: Journal Article Date: 2011-04-21 |
Journal Detail:
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Title: Journal of Korean medical science Volume: 26 ISSN: 1598-6357 ISO Abbreviation: J. Korean Med. Sci. Publication Date: 2011 May |
Date Detail:
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Created Date: 2011-05-02 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8703518 Medline TA: J Korean Med Sci Country: Korea (South) |
Other Details:
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Languages: eng Pagination: 690-3 Citation Subset: IM |
Affiliation:
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Department of Cardiothoracic Surgery, Chonnam National University Hospital, Gwangju, Korea. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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