Significance of the Superior Vena Caval Syndrome

AMA Arch Intern Med. 1958;102(1):88-96. doi:10.1001/archinte.1958.00260190090010.
Text Size: A A A
Published online

Obstruction of the superior vena cava is seen with increasing frequency. The syndrome resulting from complete obstruction is readily recognizable clinically. The syndrome resulting from partial obstruction may be suspected and possibly verified first by the intravenous use of contrast material outlining the venous circulation and second by infrared photography.

The last exhaustive review of the literature, by McIntire and Sykes,1 included the known cases through the year 1945 and noted 250 authentic cases between 1904 and 1946. These authors note that Fischer had collected 252 cases prior to 1904 and that the probable first authentic case report was by William Hunter in 1757—now two centuries ago. In the last decade, published reports would indicate that the syndrome of superior vena caval obstruction is seen in the order of magnitude of one case per year for each 200-300 hospital beds. The current incidence is many times greater than before


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview





Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Web of Science® Times Cited: 15

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.