AngioJet thrombolysis of SVC thrombosis after orthotopic heart transplantation: A case report

Pediatr Transplant. 2016 Aug;20(5):723-726. doi: 10.1111/petr.12715. Epub 2016 Apr 19.

Abstract

SVC obstruction is a rare acute complication after bicaval cardiac transplantation and can be catastrophic for the patient. Herein, we report the case of a child who developed SVC thrombosis causing acute SVC syndrome nine days after heart transplantation. Thrombolysis was successfully performed using the AngioJet system and subsequent balloon angioplasty with re-establishment of flow. This procedure allowed for revascularization without repeat sternotomy or stent implantation. The patient is well without recurrence at last follow-up.

Keywords: endovascular procedures; fibrinolysis; heart transplantation; superior vena cava.

Publication types

  • Case Reports