2020 Volume 29 Issue 2 Pages 99-101
86 year-old male was referred to our institution complaining of edema of face and right upper extremity. A cardiac pacemaker was implanted due to complete atrioventricular block 4 years ago, and arteriovenous shunt for blood dialysis was created on the right forearm 2 years ago. Venography and enhanced computed tomography showed a thrombotic occlusion at the left innominate vein and distal of superior vena cava, which led to a diagnosis of superior vena cava syndrome caused by pacemaker lead. A single bypass surgery between right innominate vein and superior vena cava was performed by partial sternotomy incision using superficial femoral vein graft. There was no complication, and the face and right upper extremity edemas were improved immediately.
