Immediate Postoperative Percutaneous Stenting of Superior Vena Cava Obstruction Following Heart Transplantation in Adult Patients with Pacemaker Leads JOURNAL OF CARDIAC SURGERY Asseff, D., Sheikh, A. Y., Sze, D., Ha, R., Hofmann, L., van der Starre, P. J. 2014; 29 (5): 733-736


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.

View details for DOI 10.1111/jocs.12387

View details for Web of Science ID 000342851100031