Fig. 1

SVC syndrome occurred several times after repeated implantation of tunnelled double-lumen catheters for haemodialysis. a Gradual development of SVC syndrome with classic symptoms, including obvious face, neck, and upper trunk swelling. b A reconstructed coronal section of the contrast enhanced computed tomography angiogram revealed a fibrotic SVC. The occlusion (white arrow) of the right internal jugular vein at the junction with SVC and accompanying collateral blood-flow network (black arrow) indicated chronic SVC obstruction. (SVC = superior vena cava)