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- W1995676670 abstract "Supraventricular Tachycardias (SVTs) are sometimes associated with Inferior vena cava thrombi and pulmonary emboli. However, there is very little mention of a relationship between superior vena cava thrombi and pulmonary embolism and the development of such an arrhythmia. We present a case of supraventricular tachycardia as a complication of pulmonary embolism in a patient with a superior vena cava thrombus of unknown cause. A 47 years old male presented to the Emergency Department with a supraventricular tachycardia. He was successfully electrically cardioverted after chemical cardioversion with adenosine failed. Investigation for an aortic dissection as the cause for his SVT was undertaken after a dilated aortic root was discovered on a cardiac ultrasound done in the Emergency Department. The Computed Chest Tomogram and angiogram excluded an aortic dissection, but revealed a thrombus in the Superior Vena Cava extending into the right atrium. He also had filling defects in his pulmonary vasculature suggestive of pulmonary emboli. The patient had no risk factors for development of a thrombus or pulmonary embolism and further work-up for the cause of the SVT and thrombus was normal. Pulmonary emboli present with a wide range of varying clinical features. SVTs are an uncommon feature of pulmonary emboli, hence a high index of suspicion needs to be maintained and a thorough workup for the cause of an SVT needs to be undertaken. SVT’s sometimes develop secondary to inferior vena cava thrombi and pulmonary emboli but there is very little literature reporting a relationship between Superior vena cava thrombi and development of supraventricular tachycardia." @default.
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- W1995676670 date "2013-12-01" @default.
- W1995676670 modified "2023-09-25" @default.
- W1995676670 title "Supraventricular tachycardia secondary to pulmonary embolism and supra vena cava thrombus: Case report" @default.
- W1995676670 doi "https://doi.org/10.1016/j.afjem.2013.08.064" @default.
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