Case Report
“Complete Venous Shutdown:” A Rare Case of Combined Superior Vena Cava (SVC) and Inferior Vena Cava (IVC) Occlusion
Table 1
Sequence of diagnostic and interventional modalities.
| Imaging/intervention | Results/outcomes |
| 1. Initial outside hospital EGD | Esophageal varices | 2. Doppler ultrasound of lower extremities | Chronic DVTs in the right lower extremity | 3. Second EGD (after hemoptysis) | Downhill varices identified | 4. CT chest/abdomen/pelvis | IVC stenosis identified; dilated esophageal varices with communication to the IV | 5. IR venogram | Central occlusion and thrombus of SVC with collateralization | 6. Surgical bypass | Successful central venous decompression |
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