A&A Case Reports

Skip Navigation LinksHome > April 15, 2014 - Volume 2 - Issue 8 > Airway Obstruction Mimicking Superior Vena Cava Syndrome in...
A&A Case Reports:
doi: 10.1213/XAA.0000000000000008
Case Reports: Case Report

Airway Obstruction Mimicking Superior Vena Cava Syndrome in a Patient Undergoing Dialysis Graft Revision after Ultrasound-Guided Supraclavicular Nerve Block

Jassal, Veneet MD; Bigeleisen, Paul E. MD

Collapse Box


A 25-year-old man presented for revision of a dialysis fistula in his left upper arm. An ultrasound-guided left supraclavicular block was performed, and 4 hours later during wound closure, the patient developed intermittent airway obstruction accompanied by edema of the face and upper airway. Superior vena cava syndrome was suspected, and awake fiberoptic tracheal intubation was performed. Partial obstruction of the left brachiocephalic vein and right internal jugular vein were identified while the patient was in the radiology suite. Sympathetic block and increased venous return from the left arm likely contributed to his airway obstruction that mimicked superior vena cava syndrome.

© 2014 International Anesthesia Research Society

You currently do not have access to this article.

You may need to:

Note: If your society membership provides for full-access to this article, you may need to login on your society’s web site first.


Become a Society Member

Article Tools


Article Level Metrics