Immediate postoperative percutaneous stenting of superior vena cava obstruction following heart transplantation in adult patients with pacemaker leads

David Asseff, Ahmad Y. Sheikh, Daniel Sze, Richard Ha, Lawrence Hofmann, Pieter J.A. Van Der Starre

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Vena cava superior syndrome is a serious complication after heart transplantation, leading to low cardiac output, cerebral edema, and multi-organ dysfunction. We report three adult patients who underwent heart and heart-lung transplantation and required immediate postoperative balloon angioplasty and stent placement by interventional radiology. The observed obstructions were located at sites of intraoperatively removed pacemaker or defibrillator wires. Percutaneous stent placement immediately improved the hemodynamic condition of the patients. Early recognition of the complication and availability of immediate intervention are essential to prevent further deterioration.

Original languageEnglish (US)
Pages (from-to)733-736
Number of pages4
JournalJournal of Cardiac Surgery
Volume29
Issue number5
DOIs
StatePublished - Sep 1 2014
Externally publishedYes

    Fingerprint

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

Cite this