Superior Vena Cava Thrombosis Due to a Temporary Hemodialysis Catheter Presenting After 5 Years With Hematemesis, Hemoptysis and Pleural Effusion

Nidal Arnous, Munaza Akunjee


Superior vena cava (SVC) thrombosis is increasingly seen now due to the liberal use of intravascular catheters. Most of these cases present with symptoms acutely, like any case of deep vein thrombosis, usually with ipsilateral arm and face swelling. Our patient presented after 5 years with unusual symptoms that are unrelated to the thrombosis itself, but due to the collateral circulation. He was a 38-year-old male patient with end-stage renal disease on hemodialysis (HD) for 9 years, initially via a left arm arteriovenous (AV) fistula, then via a temporary right subclavian dialysis catheter for a period of 5 months before being maintained on his current AV fistula in the right arm for the last 5 years. He presented with intermittent episodes of hematemesis and hemoptysis, and was also found to have pleural effusion. He was found to have chronic thrombosis in the SVC. Chronic SVC obstruction causes formation and increase in the flow in the collateral circulation in the esophageal plexus causing varices, in the intercostals veins causing pleural fluid formation, and in the bronchial veins leading to hemoptysis. The AV fistula aggravated these findings by further increasing the flow and the pressure in the collateral circulation. In conclusion, chronic SVC thrombosis can occur as a consequence of HD catheters, and may present with symptoms related to the collateral circulation.

J Med Cases. 2014;5(10):515-518


Superior vena cava; ESRD; Thrombosis; Catheter

Full Text: HTML PDF

Browse  Journals  


Journal of Clinical Medicine Research

Journal of Endocrinology and Metabolism

Journal of Clinical Gynecology and Obstetrics


World Journal of Oncology

Gastroenterology Research

Journal of Hematology


Journal of Medical Cases

Journal of Current Surgery

Clinical Infection and Immunity


Cardiology Research

World Journal of Nephrology and Urology

Cellular and Molecular Medicine Research


Journal of Neurology Research

International Journal of Clinical Pediatrics



Journal of Medical Cases, monthly, ISSN 1923-4155 (print), 1923-4163 (online), published by Elmer Press Inc.                     
The content of this site is intended for health care professionals.
This is an open-access journal distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License, which permits unrestricted
non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Creative Commons Attribution license (Attribution-NonCommercial 4.0 International CC-BY-NC 4.0)

This journal follows the International Committee of Medical Journal Editors (ICMJE) recommendations for manuscripts submitted to biomedical journals,
the Committee on Publication Ethics (COPE) guidelines, and the Principles of Transparency and Best Practice in Scholarly Publishing.

website:   editorial contact:
Address: 9225 Leslie Street, Suite 201, Richmond Hill, Ontario, L4B 3H6, Canada

© Elmer Press Inc. All Rights Reserved.

Disclaimer: The views and opinions expressed in the published articles are those of the authors and do not necessarily reflect the views or opinions of the editors and Elmer Press Inc. This website is provided for medical research and informational purposes only and does not constitute any medical advice or professional services. The information provided in this journal should not be used for diagnosis and treatment, those seeking medical advice should always consult with a licensed physician.