Case Report

Epidural Anesthesia for a Parturient with Superior Vena Cava Syndrome

10.5222/JTAICS.2012.052

  • Serhan Yurtlu
  • Sedat Hakimoğlu
  • Volkan Hancı
  • Hilal Ayoğlu
  • Gülay Erdoğan
  • Işıl Özkoçak

Received Date: 23.12.2010 Accepted Date: 09.03.2011 Turk J Anaesthesiol Reanim 2012;40(1):52-57

Superior vena cava syndrome (SVCS) is an anesthetic challenge because of its symptomatic cardiovascular, respiratory and neurologic pathophysiology. Decreased venous return to the heart, potential negative outcome of positive pressure ventilation in the presence of an intrathoracic mass complicate the anesthetic management. If this syndrome develops during pregnancy, this condition becomes more dreadful because of already existing pressure on inferior vena cava by gravid uterus. In this case report, we aimed to present anesthetic management of a parturient with SVCS and endobronchial tumour.

Keywords: Superior vena cava syndrome, cesarean, epidural anesthesia