Superior vena cava reconstruction using autologous femoral vein graft.
Oscar Holmvard, Alexandra Murillo Solera, Korbe Otis et al.
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Case in brief
A 39-year-old woman with left ventricular non-compaction cardiomyopathy developed chronic superior vena cava obstruction after receiving a transvenous implantable cardioverter-defibrillator. Despite attempts at endovascular recanalization, the occlusion could not be traversed. Open reconstruction using an inverted left femoral-popliteal vein graft was performed, resulting in excellent flow and significant symptomatic improvement.
Diagnostic / clinical pearl
Clinicians should consider the potential for chronic superior vena cava obstruction in patients with transvenous cardiac devices, especially when symptoms of superior vena cava syndrome arise.