Enrique Santillán-Aguayo, Department of Angiology and Vascular Surgery, Centro Médico Dalinde, Mexico City, Mexico Verónica Carbajal-Robles, Department of Angiology and Vascular Surgery, Centro Médico Dalinde, Mexico City, Mexico José E. Rejón-Cauic, Department of Angiology and Vascular Surgery, Hospital General de México. Mexico City, Mexico


Superior vena cava syndrome (SVCS) is the clinical expression secondary to a decreased venous return from the brachiocephalic trunks due to stenosis or obstruction toward the superior vena cava. We present a 60-year-old female with an iatrogenic SVCS, secondary to in-stent left brachiocephalic thrombosis after stent decoupling. The previous left brachiocephalic stents were proximal to the right brachiocephalic trunk, therefore, occluding the superior cava vein after thrombosing. We describe the management and present a contemporary literature review.



Keywords: Superior vena cava syndrome. In-stent thrombosis. Port catheter complication. Angioplasty. Venous stenting