Key result
Conservative treatment with full anticoagulation led to the stabilization of symptoms in a 46-year-old man with idiopathic superior vena cava syndrome over a 2-year follow-up.
Case Report (n=1)
Idiopathic superior vena cava syndrome is a rare condition that can be successfully managed conservatively with anticoagulation when symptoms are stable.
Supports anticoagulation in stable idiopathic SVC syndrome; leaves open need for prospective trials.
The Superior Vena Cava Syndrome(SVCS) is a set of signs and symptoms resulting from venous stasis caused by the obstruction of the superior vena cava(VCS) due to thrombosis, extrinsic compression or direct invasion of the vein. The most common causes of SVCS are malignant, lung cancer being the leading cause. There are few reports in the literature on SVCS of benign etiology. We describe a case of SVCS of idiopathic origin, where the author studied and excluded all benign etiologies of SVCS, until arriving at etiological diagnosis.
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Nogueira et al. (2015) conducted a case report in Idiopathic Superior Vena Cava Syndrome (n=1). Anticoagulation (Low Molecular Weight Heparin followed by warfarin) was evaluated on Symptom stabilization. Conservative treatment with full anticoagulation led to the stabilization of symptoms in a 46-year-old man with idiopathic superior vena cava syndrome over a 2-year follow-up.
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