“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