case_images: PMC5977417_01
case_images: Contrast-enhanced computed tomographic (CT) scan with 3-dimensional reconstruction showing the stenosis.
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case_images: PMC5977417_01_10.1177_1179065218771900-fig1.jpg
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case_images: A contrast-enhanced CT scan with 3-dimensional reconstruction (Figure 1) revealed significant superior vena cava compression secondary to MF.
case_images: Intraoperative venograms via the right and left arm, respectively.
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case_images: PMC5977417_01_10.1177_1179065218771900-fig2.jpg
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case_images: Intraoperative venograms performed via the right and left arms confirmed pre-occlusive stenosis of the right internal jugular (IJ) and innominate veins and SVC with extensive collateral veins and type 4 SVCS according to the Standford Classification (Figure 2).
case_images: Recanalization of right IJ and innominate veins.
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case_images: A 12F sheath was inserted, and two 0.035-in hydrophilic guidewires (Glidewire Terumo, Somerset, NJ, USA) were manoeuvred in parallel past the venous obstruction (Figure 3).
case_images: Stenting of the superior vena cava and kissing stents in right IJ and innominate veins.
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case_images: The parallel stents extended beyond the initial part of the stent in the SVC (Figure 4).
case_images: Venograms showing complete patency after stenting.
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case_images: PMC5977417_01_10.1177_1179065218771900-fig5.jpg
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case_images: A venogram demonstrated complete coverage of the SVC bifurcation and patent right IJ and innominate veins and SVC without any extravasation (Figure 5).
case_images: Computed tomographic scan with 3-dimensional reconstruction before patient discharge.
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case_images: A CT scan confirmed stent patency at discharge and 1 year (Figure 6).