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(Circulation. 1996;93:1767.)
© 1996 American Heart Association, Inc.

Articles

Superior Vena Caval Thrombosis

Thomas C. Mathew, MD; Eddison K. Ramsaran, MD; Jayashri R. Aragam, MD

From the Division of Cardiology, Saint Vincent Hospital, Worcester, Mass.

Correspondence to Thomas C. Mathew, MD, Division of Cardiology, Saint Vincent Hospital, 25 Winthrop St, Worcester, MA 01604.

	Introduction

 
A 56-year-old man presented with dyspnea and chest discomfort following gastrectomy for metastatic adenocarcinoma. Transthoracic echocardiography showed a mass in the right atrium (RA); he subsequently underwent transesophageal echocardiography using a biplane probe. Imaging done in the horizontal plane (Fig 1) showed a mass (arrows) in the RA; vertical plane imaging (Fig 2) revealed a serpentine mass (arrows) originating in the superior vena cava (SVC) and extending into the RA, consistent with thrombus. AO indicates aorta; IVC, inferior vena cava; and LA, left atrium.

View larger version (93K): [in this window] [in a new window]   Figure 1. Horizontal plane imaging.

View larger version (73K): [in this window] [in a new window]   Figure 2. Vertical plane imaging.

	Footnotes

 
The editor of Images in Cardiovascular Medicine is Hugh A. McAllister, Jr, MD, Chief, Department of Pathology, St Luke's Episcopal Hospital and Texas Heart Institute, and Clinical Professor of Pathology, University of Texas Medical School and Baylor College of Medicine.

Circulation encourages readers to submit cardiovascular images to Dr Hugh A. McAllister, Jr, St Luke's Episcopal Hospital and Texas Heart Institute, 6720 Bertner, MC 4-265, Houston, TX 77030.