Alternative Names
Superior vena cava obstruction; Superior vena cava syndrome
Definition of SVC obstruction
SVC obstruction is a narrowing or blockage of the superior vena cava — the second largest vein in the human body. The superior vena cava moves blood from the upper half of the body to the heart.
Causes, incidence, and risk factors
Superior vena cava (SVC) obstruction is a relatively rare condition.
Symptoms
Symptoms occur when something blocks the blood flowing back to the heart. They may begin suddenly or gradually, and may worsen when bending over or lying down.
Signs and tests
An examination may show enlarged veins of the face, neck, and upper chest. is often high in the arms and low in the legs.
Treatment
The goal of treatment is to relieve the obstruction.
Expectations (prognosis)
The outcome varies depending on the cause and the extent of obstruction.
Review
Jacob L. Heller, MD, Emergency Medicine, Virginia Mason Medical Center, Seattle, Washington, Clinic. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc. – 1/16/2009









