Superior vena cava stenting guided by alternative imaging modalities in a patient with severe contrast allergy: a case report and brief literature review

Congenit Heart Dis. 2014 Sep-Oct;9(5):E143-6. doi: 10.1111/chd.12111. Epub 2013 Jun 30.

Abstract

Major adverse reactions to iodinated radiocontrast media are an uncommon but serious complication of cardiac catheterizations. We present a case of a 52-year-old woman with a sinus venosus atrial septal defect and partial anomalous pulmonary venous connection status post repair who presented with superior vena cava graft obstruction. Two overlapping stents were placed within the superior vena cava using gadolinium, CO2 angiography and transesophageal echocardiography for visualization of the graft stenoses. No iodinated media were used.

Keywords: Anaphylaxis; CO2 Angiography; Contrast Allergy; Gadolinium.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Abnormalities, Multiple
  • Anaphylaxis / chemically induced
  • Anaphylaxis / diagnosis
  • Anaphylaxis / prevention & control*
  • Blood Vessel Prosthesis
  • Blood Vessel Prosthesis Implantation / adverse effects*
  • Blood Vessel Prosthesis Implantation / instrumentation
  • Carbon Dioxide
  • Contrast Media / adverse effects*
  • Echocardiography, Doppler, Color
  • Echocardiography, Doppler, Pulsed
  • Echocardiography, Transesophageal
  • Endovascular Procedures / instrumentation
  • Female
  • Graft Occlusion, Vascular / diagnosis
  • Graft Occlusion, Vascular / etiology
  • Graft Occlusion, Vascular / physiopathology
  • Graft Occlusion, Vascular / surgery*
  • Heart Septal Defects, Atrial / diagnosis
  • Heart Septal Defects, Atrial / physiopathology
  • Heart Septal Defects, Atrial / surgery*
  • Humans
  • Middle Aged
  • Phlebography
  • Predictive Value of Tests
  • Pulmonary Veins / abnormalities
  • Pulmonary Veins / physiopathology
  • Pulmonary Veins / surgery*
  • Reoperation
  • Risk Factors
  • Stents
  • Superior Vena Cava Syndrome / diagnosis
  • Superior Vena Cava Syndrome / etiology
  • Superior Vena Cava Syndrome / physiopathology
  • Superior Vena Cava Syndrome / surgery*
  • Ultrasonography, Interventional* / methods
  • Vena Cava, Superior / diagnostic imaging
  • Vena Cava, Superior / physiopathology
  • Vena Cava, Superior / surgery*

Substances

  • Contrast Media
  • Carbon Dioxide

Supplementary concepts

  • Atrial Septal Defect Sinus Venosus