AUCTORES
Globalize your Research
Case Report | DOI: https://doi.org/10.31579/2693-2156/144
1Department of anaesthesiology and critical care, SGT Medical college, Budhera, Gurugram, Haryana, India.
2Department of CTVS, Tender palm, super specialty hospital, Lucknow.
*Corresponding Author: Vishnu Datt, Professor & HOD, Department of Anesthesiology and critical care, SGT Medical College, Bhudera, Gurugram, Haryana, India.
Citation: Vishnu Datt, Priyanka, Divya, Vijay Agarwal, Parth Gangwar, et al, (2025), Central Venous Pressure Catheter induced Superior Vena Cava Syndrome in a 2.7 kg Neonate after Patent Ductus Arteriosus (PDA) Ligation: Report of a Rare Case, J Thoracic Disease and Cardiothoracic Surgery, 6(4); DOI:10.31579/2693-2156/144
Copyright: Copyright: © 2025, Vishnu Datt. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Received: 30 June 2025 | Accepted: 07 July 2025 | Published: 14 July 2025
Keywords: CVP catheter; GA; left thoracotomy; PDA Ligation; SVC syndrome; swelling of chest; face; head; and neck
Superior vena cava syndrome (SVCS) is an uncommon but severe complication following neonatal cardiac surgery. It is caused by severe obstruction or occlusion of the SVC. In neonates, SVCS is known to cause swellings of the face, head, neck, or upper chest; prominent vessels around the chest wall and neck; or even a significant airway obstruction and respiratory distress, cerebral edema, and significant morbidity and mortality. Recently, the growing use of SVC catheterization makes catheter-related thrombosis a potential cause of serious complications. Approximately 47 % of the SVCS occur in cardiac cases associated with congenital heart diseases. Following PDA ligation surgery, the SVCS can occur due to surgical trauma or direct injury to the SVC or surrounding veins during ligation under cardiopulmonary bypass (CPB) or CVP catheter or PICCs leading to the genesis of thrombus or stenosis. Prompt recognition and appropriate management are vital for improving outcomes in the affected neonates.
We report A 9-day-old, 2.7 kg neonate diagnosed with a PDA with left-to-right shunt and persistent respiratory distress, who underwent its emergency surgical ligation. Despite an initially unremarkable postoperative course, a progressive swelling of the neck, face (including the periorbital area and head), and upper chest, with engorged veins on the chest wall, was noticed. The baby slowly and progressively became lethargic and unresponsive to the stimulus and dusky in color and developed respiratory difficulty and arterial oxygen desaturation (87%), requiring high-flow nasal cannula (HFNC) oxygen therapy. Such a complication immediately following PDA ligation is uncommonly expected. The diagnosis of SVC syndrome in neonates can be challenging due to the subtle initial symptoms and the rarity of the condition. On the exclusion criteria, clinical picture and ultrasonography parameters, and the diagnosis of the SVC line (4.5Fg), induced SVCS was reached, and it was decided to remove it. There was spontaneous regression of the swelling and improvement in the mental status and respiratory efforts and the baby again became active within 2-3 hours of CVP catheter removal. The SPO2 was maintained at 97-99% with 2L oxygen flow through nasal cannula. The rest of the course was uneventful, and the baby was sent back to the referral hospital on the second postoperative day. We are of the opinion that cardiac-related SVCS has a faster onset and more symptoms, and so delay in diagnosis of acute complications would result in an increased rate of the primary outcome. To the best of our knowledge, SVC syndrome after PDA ligation caused by the obstruction due to a CVP line without thrombosis or injury has not been reported in the literature to date. Early diagnosis of SVC syndrome in neonates after cardiac surgery and prompt action is crucial in preventing the major complications and significant morbidity and mortality.
Superior Vena Cava syndrome (SVCS) in neonates after cardiac surgery is a rare but potentially serious complication. It occurs due to obstruction of blood flow through the SVC, leading to swelling of the face, head, neck, and upper chest with venous engorgement particularly on the upper extremities and chest, or even significant morbidity and mortality due to increased cerebral venous pressure resulting in hydrocephalus or respiratory distress or low cardiac output. [1,2,3]
SVCS can be caused by thrombosis, external compression, or iatrogenic caused by improper placement of catheters or cannula during cardiac surgery or by direct injury to SVC. it can occur even after some heart procedure like Glenn or Senning cardiac repair.
Early diagnosis and treatment are crucial to prevent progression and potential morbidity and mortality. We describe a rare case of acute SVC syndrome in a 2.7 kg- female -neonate after successful PDA ligation, due to obstruction of the SVC by triple lumen CVP catheter inserted via right internal jugular vein (RIJV). Removal of the CVP catheter resulted in rapid recovery from the respiratory distress and lethargy within few hours.
To report on a rare case of acute superior vena cava syndrome (SVCS) developed in cardiac ICU immediately after the cardiac surgery in neonates. The nearly complete blood flow obstruction due to mismatch of the size of SVC cannula and the IJV or SVC should be suspected the cause of SVCS after ductus ligation, and its removal causes a swift recovery from the signs and symptoms of SVCS not only the edema but respiratory distress and consciousness level.
A 9-days- 2.7 kg Female, born at 37 weeks as normal delivery in a general hospital, presented with shortness of breath since 3rd day of life. The baby required oxygen therapy and diuretics round the clock. On examination, she was conscious, respiratory rate was 45 cycles /min, HR 144bpm. Chest auscultation revealed generalized bilateral basal crepitations. CVS examination revealed normal S1 and S2 sounds and a machinery murmur on left parasternal and sub clavicular region suggestive of a PDA. The attempt of ductus pharmacological closure with intravenous indomethacin (0.1-0.2 mg/kg) slowly over a minimum of 30 minutes and even 3 doses were unsuccessful. Therefore, she was referred to CTVS department of the super speciality tertiary care centre for the surgical PDA ligation. Echocardiography revealed situs solitus, levocardia, a PFO of 3mm with L-R shunt, PDA of 6mm with L-R shunt and PG of 38 mmHg, no PAH, good biventricular functions and no other congenital anomalies. Chest X-Ray (AP) view showed cardiomegaly with lung plethora suggestive of increased lung blood flow. Her HB was 16.8 gm%, TLC- 8800/cmm, platelets -1.64 lacs/cmm, total bilirubin of 14.9mg/dl with direct 2.58mg/dl and indirect of 12.32 mg/dl, total bilirubin decreased to 10.2 on the day of surgery. CRP value was in decreasing order from 15mg/l to 7.02mg/l suggestive of decreasing the body infection, PT of 13.7sec, INR of 1.06 and PTT of 32 sec. A detailed informed consent was obtained from the parents, and the baby was posted for emergency surgical PDA ligation.
In OR, a standard ASA monitoring including ECG, SPO2, ETCO2, were attached, The SPO2 revealed a baseline arterial oxygen saturation of 93%. General anaesthesia was induced with sevoflurane 8% in oxygen in air with a FIO2 of 60% until venous access with 24 G cannula was achieved and then its concentration was reduced to 1% and anaesthesia was further supplemented with fentanyl (5 mcg), midazolam (0.25 mg) and atracurium bromide 2mg was used as a muscle relaxant to facilitate the endotracheal intubation with 3mm cuffed tube, fixed at 9cm. A 22G leader Cath was inserted in the left femoral artery for continuous BP monitoring and serial arterial blood gas analysis. 4.5 Fg triple lumen catheter was inserted via the right internal jugular vein (RIGV) for CVP monitoring and administration of anaesthetic drugs, fluids, and inotropes as well as vasodilators.
The patient positioned for left lateral thoracotomy and the ductus was approached through the left 4th intercostal space. The aortic arch vessels, descending aorta, pulmonary artery and PDA were dissected. The PDA was confirmed by temporary clamping resulting in increase in diastolic pressure from 29 mm hg to 43 mmHg without any drop in the arterial saturation. Following appropriate hemodynamic assessment, the BP was reduced to MAP of 40 mmHg with administration of NTG (1mcg/kg/min) and sevoflurane 5-8% to facilitate the smooth ligation of the ductus and to avoid its rupture, a catastrophic complication. After ligation, Milrinone (0.3mcg/kg/min) was started to counter the systolic dysfunction following ductus ligation. The haemostasis was secured, and chest incision was closed in layers as usual fashion, and intercostal chest tube was also inserted. Incision and chest tube sites were infiltrated with bupivacaine (0.125%, 3ml) for post operative pain relief. Patient was extubated successfully in the OR and showed full recovery with good cry and saturation of 99-100% with oxygen support at 2L/min by nasal prongs. However, the slow and progressive swelling on the face around eyes, upper extremity, neck and upper chest and engorged veins on the chest and respiratory distress with decrease in arterial oxygen saturation to 87% was noticed.
Figure 1: the postoperative photograph of the baby showing the swelling of head, neck, chest along with bluish discoloration of the face and chest, the features suggestive of the SVCS. In addition, a right sided triple lumen catheter and the HFNC oxygen therapy for respiratory distress and arterial O2 desaturation canalso be noticed.
The baby, became lethargic and developed and bluish discoloration of the lips and tongue and therefore, she was put on HFNC with a 4L oxygen flow and fluid was restricted and furosemide (1mg) was given, however, there was no relief occurred and swelling kept on increasing over the next 12 hrs., but hemodynamic were still maintained, BP systolic/ diastolic70-80/45-55 mmHg, CVP of 2mmHg, HR 150bpm. Postoperative, Chest X-ray (AP) view revealed only cardiomegaly with normal lung fields, without any gross widening of the mediastinum or any mass looking(thrombus) opacity on the right side of the chest, a right sided CVP line was confirmed, reaching almost to the RV so withdrawn 2-3 cm. (Figure-2)
Figure-2. Chest X-ray (AP) view show - cardiomegaly with normal lung fields, without any gross widening of the mediastinum or any mass looking(thrombus) opacity on the right side of the chest, a right sided CVP line is seen reaching almost to the RV. So primarily excludes SVC thrombus with dilatation or compression by any mass
The ultrasound revealed noncompressible and nondistended IJV and SVC, with catheter in situ, there was a scanty blood flow, and the S, D, AR and VR waves could not be appreciated suggestive of severe SVCS. Finally, on the bases of clinical picture and USG parameters, the diagnosis of SVC syndrome was established and CVP catheter was the culprit for it, and so, it was decided to remove it. Following that the swelling started regressing and a gross improvement was observed over the next 2hr, and a complete recovery with recovery of alertness, normal colour of the face and saturation of 97% even without any oxygen support (Figure 3, &4).
Figure 3: The postoperative photograph of the neonate shows regression of the swelling of the body. Normal colour of the skin and completely weaned off the oxygen after removal of the CVP catheter. Now there is no CVP line on the right side of the neck as it was noticed in the figure 1a.
Figure 4: The monitor screen shows BP of 80/56mmHg, CVP of 2, SPO2 of 97% and HR of 150bpm without oxygen and milrinone therapy. At this point, the arterial line and PICC lines were also removed.
The femoral arterial cannula and chest tube were also removed before the neonate was transferred back to the referral hospital on the 2nd postoperative day and the rest of the course was uneventful as informed by the treating physicians.
SVC syndrome affects a small proportion of neonates, but its effects can be devastating. It has been reported after congenital cardiac surgical procedures, but not because of direct impact of PDA ligation. This single case report suggests that acute SVCS can develop in cardiac ICU immediately after the cardiac surgery in neonates. The mismatch of the size of SVC cannula and the IJV or SVC should be suspected the cause of SVCS after ductus ligation, and its removal causes a swift recovery from the signs and symptoms of SVCS not only the edema but respiratory distress and consciousness level also. We are of the opinion that cardiac related SVCS, have faster onset, more symptoms, and so delay in diagnosis of acute complications would result in an increased rate of the primary outcome. Use of anticoagulation therapy is not the first choice in such cases due to risk of fresh bleeding.
Funding sources: Nil
Conflict of interest: declare no conflict of interest
Ethical approval: Not required
Authors declaration: all authors have contributed equally for the writing, reviewing, editing, and approval of the manuscript
Clearly Auctoresonline and particularly Psychology and Mental Health Care Journal is dedicated to improving health care services for individuals and populations. The editorial boards' ability to efficiently recognize and share the global importance of health literacy with a variety of stakeholders. Auctoresonline publishing platform can be used to facilitate of optimal client-based services and should be added to health care professionals' repertoire of evidence-based health care resources.
Journal of Clinical Cardiology and Cardiovascular Intervention The submission and review process was adequate. However I think that the publication total value should have been enlightened in early fases. Thank you for all.
Journal of Women Health Care and Issues By the present mail, I want to say thank to you and tour colleagues for facilitating my published article. Specially thank you for the peer review process, support from the editorial office. I appreciate positively the quality of your journal.
Journal of Clinical Research and Reports I would be very delighted to submit my testimonial regarding the reviewer board and the editorial office. The reviewer board were accurate and helpful regarding any modifications for my manuscript. And the editorial office were very helpful and supportive in contacting and monitoring with any update and offering help. It was my pleasure to contribute with your promising Journal and I am looking forward for more collaboration.
We would like to thank the Journal of Thoracic Disease and Cardiothoracic Surgery because of the services they provided us for our articles. The peer-review process was done in a very excellent time manner, and the opinions of the reviewers helped us to improve our manuscript further. The editorial office had an outstanding correspondence with us and guided us in many ways. During a hard time of the pandemic that is affecting every one of us tremendously, the editorial office helped us make everything easier for publishing scientific work. Hope for a more scientific relationship with your Journal.
The peer-review process which consisted high quality queries on the paper. I did answer six reviewers’ questions and comments before the paper was accepted. The support from the editorial office is excellent.
Journal of Neuroscience and Neurological Surgery. I had the experience of publishing a research article recently. The whole process was simple from submission to publication. The reviewers made specific and valuable recommendations and corrections that improved the quality of my publication. I strongly recommend this Journal.
Dr. Katarzyna Byczkowska My testimonial covering: "The peer review process is quick and effective. The support from the editorial office is very professional and friendly. Quality of the Clinical Cardiology and Cardiovascular Interventions is scientific and publishes ground-breaking research on cardiology that is useful for other professionals in the field.
Thank you most sincerely, with regard to the support you have given in relation to the reviewing process and the processing of my article entitled "Large Cell Neuroendocrine Carcinoma of The Prostate Gland: A Review and Update" for publication in your esteemed Journal, Journal of Cancer Research and Cellular Therapeutics". The editorial team has been very supportive.
Testimony of Journal of Clinical Otorhinolaryngology: work with your Reviews has been a educational and constructive experience. The editorial office were very helpful and supportive. It was a pleasure to contribute to your Journal.
Dr. Bernard Terkimbi Utoo, I am happy to publish my scientific work in Journal of Women Health Care and Issues (JWHCI). The manuscript submission was seamless and peer review process was top notch. I was amazed that 4 reviewers worked on the manuscript which made it a highly technical, standard and excellent quality paper. I appreciate the format and consideration for the APC as well as the speed of publication. It is my pleasure to continue with this scientific relationship with the esteem JWHCI.
This is an acknowledgment for peer reviewers, editorial board of Journal of Clinical Research and Reports. They show a lot of consideration for us as publishers for our research article “Evaluation of the different factors associated with side effects of COVID-19 vaccination on medical students, Mutah university, Al-Karak, Jordan”, in a very professional and easy way. This journal is one of outstanding medical journal.
Dear Hao Jiang, to Journal of Nutrition and Food Processing We greatly appreciate the efficient, professional and rapid processing of our paper by your team. If there is anything else we should do, please do not hesitate to let us know. On behalf of my co-authors, we would like to express our great appreciation to editor and reviewers.
As an author who has recently published in the journal "Brain and Neurological Disorders". I am delighted to provide a testimonial on the peer review process, editorial office support, and the overall quality of the journal. The peer review process at Brain and Neurological Disorders is rigorous and meticulous, ensuring that only high-quality, evidence-based research is published. The reviewers are experts in their fields, and their comments and suggestions were constructive and helped improve the quality of my manuscript. The review process was timely and efficient, with clear communication from the editorial office at each stage. The support from the editorial office was exceptional throughout the entire process. The editorial staff was responsive, professional, and always willing to help. They provided valuable guidance on formatting, structure, and ethical considerations, making the submission process seamless. Moreover, they kept me informed about the status of my manuscript and provided timely updates, which made the process less stressful. The journal Brain and Neurological Disorders is of the highest quality, with a strong focus on publishing cutting-edge research in the field of neurology. The articles published in this journal are well-researched, rigorously peer-reviewed, and written by experts in the field. The journal maintains high standards, ensuring that readers are provided with the most up-to-date and reliable information on brain and neurological disorders. In conclusion, I had a wonderful experience publishing in Brain and Neurological Disorders. The peer review process was thorough, the editorial office provided exceptional support, and the journal's quality is second to none. I would highly recommend this journal to any researcher working in the field of neurology and brain disorders.
Dear Agrippa Hilda, Journal of Neuroscience and Neurological Surgery, Editorial Coordinator, I trust this message finds you well. I want to extend my appreciation for considering my article for publication in your esteemed journal. I am pleased to provide a testimonial regarding the peer review process and the support received from your editorial office. The peer review process for my paper was carried out in a highly professional and thorough manner. The feedback and comments provided by the authors were constructive and very useful in improving the quality of the manuscript. This rigorous assessment process undoubtedly contributes to the high standards maintained by your journal.
International Journal of Clinical Case Reports and Reviews. I strongly recommend to consider submitting your work to this high-quality journal. The support and availability of the Editorial staff is outstanding and the review process was both efficient and rigorous.
Thank you very much for publishing my Research Article titled “Comparing Treatment Outcome Of Allergic Rhinitis Patients After Using Fluticasone Nasal Spray And Nasal Douching" in the Journal of Clinical Otorhinolaryngology. As Medical Professionals we are immensely benefited from study of various informative Articles and Papers published in this high quality Journal. I look forward to enriching my knowledge by regular study of the Journal and contribute my future work in the field of ENT through the Journal for use by the medical fraternity. The support from the Editorial office was excellent and very prompt. I also welcome the comments received from the readers of my Research Article.
Dear Erica Kelsey, Editorial Coordinator of Cancer Research and Cellular Therapeutics Our team is very satisfied with the processing of our paper by your journal. That was fast, efficient, rigorous, but without unnecessary complications. We appreciated the very short time between the submission of the paper and its publication on line on your site.
I am very glad to say that the peer review process is very successful and fast and support from the Editorial Office. Therefore, I would like to continue our scientific relationship for a long time. And I especially thank you for your kindly attention towards my article. Have a good day!
"We recently published an article entitled “Influence of beta-Cyclodextrins upon the Degradation of Carbofuran Derivatives under Alkaline Conditions" in the Journal of “Pesticides and Biofertilizers” to show that the cyclodextrins protect the carbamates increasing their half-life time in the presence of basic conditions This will be very helpful to understand carbofuran behaviour in the analytical, agro-environmental and food areas. We greatly appreciated the interaction with the editor and the editorial team; we were particularly well accompanied during the course of the revision process, since all various steps towards publication were short and without delay".
I would like to express my gratitude towards you process of article review and submission. I found this to be very fair and expedient. Your follow up has been excellent. I have many publications in national and international journal and your process has been one of the best so far. Keep up the great work.
We are grateful for this opportunity to provide a glowing recommendation to the Journal of Psychiatry and Psychotherapy. We found that the editorial team were very supportive, helpful, kept us abreast of timelines and over all very professional in nature. The peer review process was rigorous, efficient and constructive that really enhanced our article submission. The experience with this journal remains one of our best ever and we look forward to providing future submissions in the near future.
I am very pleased to serve as EBM of the journal, I hope many years of my experience in stem cells can help the journal from one way or another. As we know, stem cells hold great potential for regenerative medicine, which are mostly used to promote the repair response of diseased, dysfunctional or injured tissue using stem cells or their derivatives. I think Stem Cell Research and Therapeutics International is a great platform to publish and share the understanding towards the biology and translational or clinical application of stem cells.
I would like to give my testimony in the support I have got by the peer review process and to support the editorial office where they were of asset to support young author like me to be encouraged to publish their work in your respected journal and globalize and share knowledge across the globe. I really give my great gratitude to your journal and the peer review including the editorial office.
I am delighted to publish our manuscript entitled "A Perspective on Cocaine Induced Stroke - Its Mechanisms and Management" in the Journal of Neuroscience and Neurological Surgery. The peer review process, support from the editorial office, and quality of the journal are excellent. The manuscripts published are of high quality and of excellent scientific value. I recommend this journal very much to colleagues.
Dr.Tania Muñoz, My experience as researcher and author of a review article in The Journal Clinical Cardiology and Interventions has been very enriching and stimulating. The editorial team is excellent, performs its work with absolute responsibility and delivery. They are proactive, dynamic and receptive to all proposals. Supporting at all times the vast universe of authors who choose them as an option for publication. The team of review specialists, members of the editorial board, are brilliant professionals, with remarkable performance in medical research and scientific methodology. Together they form a frontline team that consolidates the JCCI as a magnificent option for the publication and review of high-level medical articles and broad collective interest. I am honored to be able to share my review article and open to receive all your comments.
“The peer review process of JPMHC is quick and effective. Authors are benefited by good and professional reviewers with huge experience in the field of psychology and mental health. The support from the editorial office is very professional. People to contact to are friendly and happy to help and assist any query authors might have. Quality of the Journal is scientific and publishes ground-breaking research on mental health that is useful for other professionals in the field”.
Dear editorial department: On behalf of our team, I hereby certify the reliability and superiority of the International Journal of Clinical Case Reports and Reviews in the peer review process, editorial support, and journal quality. Firstly, the peer review process of the International Journal of Clinical Case Reports and Reviews is rigorous, fair, transparent, fast, and of high quality. The editorial department invites experts from relevant fields as anonymous reviewers to review all submitted manuscripts. These experts have rich academic backgrounds and experience, and can accurately evaluate the academic quality, originality, and suitability of manuscripts. The editorial department is committed to ensuring the rigor of the peer review process, while also making every effort to ensure a fast review cycle to meet the needs of authors and the academic community. Secondly, the editorial team of the International Journal of Clinical Case Reports and Reviews is composed of a group of senior scholars and professionals with rich experience and professional knowledge in related fields. The editorial department is committed to assisting authors in improving their manuscripts, ensuring their academic accuracy, clarity, and completeness. Editors actively collaborate with authors, providing useful suggestions and feedback to promote the improvement and development of the manuscript. We believe that the support of the editorial department is one of the key factors in ensuring the quality of the journal. Finally, the International Journal of Clinical Case Reports and Reviews is renowned for its high- quality articles and strict academic standards. The editorial department is committed to publishing innovative and academically valuable research results to promote the development and progress of related fields. The International Journal of Clinical Case Reports and Reviews is reasonably priced and ensures excellent service and quality ratio, allowing authors to obtain high-level academic publishing opportunities in an affordable manner. I hereby solemnly declare that the International Journal of Clinical Case Reports and Reviews has a high level of credibility and superiority in terms of peer review process, editorial support, reasonable fees, and journal quality. Sincerely, Rui Tao.
Clinical Cardiology and Cardiovascular Interventions I testity the covering of the peer review process, support from the editorial office, and quality of the journal.
Clinical Cardiology and Cardiovascular Interventions, we deeply appreciate the interest shown in our work and its publication. It has been a true pleasure to collaborate with you. The peer review process, as well as the support provided by the editorial office, have been exceptional, and the quality of the journal is very high, which was a determining factor in our decision to publish with you.
The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews journal clinically in the future time.
Clinical Cardiology and Cardiovascular Interventions, I would like to express my sincerest gratitude for the trust placed in our team for the publication in your journal. It has been a true pleasure to collaborate with you on this project. I am pleased to inform you that both the peer review process and the attention from the editorial coordination have been excellent. Your team has worked with dedication and professionalism to ensure that your publication meets the highest standards of quality. We are confident that this collaboration will result in mutual success, and we are eager to see the fruits of this shared effort.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, I hope this message finds you well. I want to express my utmost gratitude for your excellent work and for the dedication and speed in the publication process of my article titled "Navigating Innovation: Qualitative Insights on Using Technology for Health Education in Acute Coronary Syndrome Patients." I am very satisfied with the peer review process, the support from the editorial office, and the quality of the journal. I hope we can maintain our scientific relationship in the long term.
Dear Monica Gissare, - Editorial Coordinator of Nutrition and Food Processing. ¨My testimony with you is truly professional, with a positive response regarding the follow-up of the article and its review, you took into account my qualities and the importance of the topic¨.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, The review process for the article “The Handling of Anti-aggregants and Anticoagulants in the Oncologic Heart Patient Submitted to Surgery” was extremely rigorous and detailed. From the initial submission to the final acceptance, the editorial team at the “Journal of Clinical Cardiology and Cardiovascular Interventions” demonstrated a high level of professionalism and dedication. The reviewers provided constructive and detailed feedback, which was essential for improving the quality of our work. Communication was always clear and efficient, ensuring that all our questions were promptly addressed. The quality of the “Journal of Clinical Cardiology and Cardiovascular Interventions” is undeniable. It is a peer-reviewed, open-access publication dedicated exclusively to disseminating high-quality research in the field of clinical cardiology and cardiovascular interventions. The journal's impact factor is currently under evaluation, and it is indexed in reputable databases, which further reinforces its credibility and relevance in the scientific field. I highly recommend this journal to researchers looking for a reputable platform to publish their studies.
Dear Editorial Coordinator of the Journal of Nutrition and Food Processing! "I would like to thank the Journal of Nutrition and Food Processing for including and publishing my article. The peer review process was very quick, movement and precise. The Editorial Board has done an extremely conscientious job with much help, valuable comments and advices. I find the journal very valuable from a professional point of view, thank you very much for allowing me to be part of it and I would like to participate in the future!”
Dealing with The Journal of Neurology and Neurological Surgery was very smooth and comprehensive. The office staff took time to address my needs and the response from editors and the office was prompt and fair. I certainly hope to publish with this journal again.Their professionalism is apparent and more than satisfactory. Susan Weiner
My Testimonial Covering as fellowing: Lin-Show Chin. The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews.
My experience publishing in Psychology and Mental Health Care was exceptional. The peer review process was rigorous and constructive, with reviewers providing valuable insights that helped enhance the quality of our work. The editorial team was highly supportive and responsive, making the submission process smooth and efficient. The journal's commitment to high standards and academic rigor makes it a respected platform for quality research. I am grateful for the opportunity to publish in such a reputable journal.
My experience publishing in International Journal of Clinical Case Reports and Reviews was exceptional. I Come forth to Provide a Testimonial Covering the Peer Review Process and the editorial office for the Professional and Impartial Evaluation of the Manuscript.
I would like to offer my testimony in the support. I have received through the peer review process and support the editorial office where they are to support young authors like me, encourage them to publish their work in your esteemed journals, and globalize and share knowledge globally. I really appreciate your journal, peer review, and editorial office.
Dear Agrippa Hilda- Editorial Coordinator of Journal of Neuroscience and Neurological Surgery, "The peer review process was very quick and of high quality, which can also be seen in the articles in the journal. The collaboration with the editorial office was very good."
I would like to express my sincere gratitude for the support and efficiency provided by the editorial office throughout the publication process of my article, “Delayed Vulvar Metastases from Rectal Carcinoma: A Case Report.” I greatly appreciate the assistance and guidance I received from your team, which made the entire process smooth and efficient. The peer review process was thorough and constructive, contributing to the overall quality of the final article. I am very grateful for the high level of professionalism and commitment shown by the editorial staff, and I look forward to maintaining a long-term collaboration with the International Journal of Clinical Case Reports and Reviews.
To Dear Erin Aust, I would like to express my heartfelt appreciation for the opportunity to have my work published in this esteemed journal. The entire publication process was smooth and well-organized, and I am extremely satisfied with the final result. The Editorial Team demonstrated the utmost professionalism, providing prompt and insightful feedback throughout the review process. Their clear communication and constructive suggestions were invaluable in enhancing my manuscript, and their meticulous attention to detail and dedication to quality are truly commendable. Additionally, the support from the Editorial Office was exceptional. From the initial submission to the final publication, I was guided through every step of the process with great care and professionalism. The team's responsiveness and assistance made the entire experience both easy and stress-free. I am also deeply impressed by the quality and reputation of the journal. It is an honor to have my research featured in such a respected publication, and I am confident that it will make a meaningful contribution to the field.
"I am grateful for the opportunity of contributing to [International Journal of Clinical Case Reports and Reviews] and for the rigorous review process that enhances the quality of research published in your esteemed journal. I sincerely appreciate the time and effort of your team who have dedicatedly helped me in improvising changes and modifying my manuscript. The insightful comments and constructive feedback provided have been invaluable in refining and strengthening my work".
I thank the ‘Journal of Clinical Research and Reports’ for accepting this article for publication. This is a rigorously peer reviewed journal which is on all major global scientific data bases. I note the review process was prompt, thorough and professionally critical. It gave us an insight into a number of important scientific/statistical issues. The review prompted us to review the relevant literature again and look at the limitations of the study. The peer reviewers were open, clear in the instructions and the editorial team was very prompt in their communication. This journal certainly publishes quality research articles. I would recommend the journal for any future publications.
Dear Jessica Magne, with gratitude for the joint work. Fast process of receiving and processing the submitted scientific materials in “Clinical Cardiology and Cardiovascular Interventions”. High level of competence of the editors with clear and correct recommendations and ideas for enriching the article.
We found the peer review process quick and positive in its input. The support from the editorial officer has been very agile, always with the intention of improving the article and taking into account our subsequent corrections.
My article, titled 'No Way Out of the Smartphone Epidemic Without Considering the Insights of Brain Research,' has been republished in the International Journal of Clinical Case Reports and Reviews. The review process was seamless and professional, with the editors being both friendly and supportive. I am deeply grateful for their efforts.
To Dear Erin Aust – Editorial Coordinator of Journal of General Medicine and Clinical Practice! I declare that I am absolutely satisfied with your work carried out with great competence in following the manuscript during the various stages from its receipt, during the revision process to the final acceptance for publication. Thank Prof. Elvira Farina
Dear Jessica, and the super professional team of the ‘Clinical Cardiology and Cardiovascular Interventions’ I am sincerely grateful to the coordinated work of the journal team for the no problem with the submission of my manuscript: “Cardiometabolic Disorders in A Pregnant Woman with Severe Preeclampsia on the Background of Morbid Obesity (Case Report).” The review process by 5 experts was fast, and the comments were professional, which made it more specific and academic, and the process of publication and presentation of the article was excellent. I recommend that my colleagues publish articles in this journal, and I am interested in further scientific cooperation. Sincerely and best wishes, Dr. Oleg Golyanovskiy.
Dear Ashley Rosa, Editorial Coordinator of the journal - Psychology and Mental Health Care. " The process of obtaining publication of my article in the Psychology and Mental Health Journal was positive in all areas. The peer review process resulted in a number of valuable comments, the editorial process was collaborative and timely, and the quality of this journal has been quickly noticed, resulting in alternative journals contacting me to publish with them." Warm regards, Susan Anne Smith, PhD. Australian Breastfeeding Association.
Dear Jessica Magne, Editorial Coordinator, Clinical Cardiology and Cardiovascular Interventions, Auctores Publishing LLC. I appreciate the journal (JCCI) editorial office support, the entire team leads were always ready to help, not only on technical front but also on thorough process. Also, I should thank dear reviewers’ attention to detail and creative approach to teach me and bring new insights by their comments. Surely, more discussions and introduction of other hemodynamic devices would provide better prevention and management of shock states. Your efforts and dedication in presenting educational materials in this journal are commendable. Best wishes from, Farahnaz Fallahian.
Dear Maria Emerson, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews, Auctores Publishing LLC. I am delighted to have published our manuscript, "Acute Colonic Pseudo-Obstruction (ACPO): A rare but serious complication following caesarean section." I want to thank the editorial team, especially Maria Emerson, for their prompt review of the manuscript, quick responses to queries, and overall support. Yours sincerely Dr. Victor Olagundoye.
Dear Ashley Rosa, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews. Many thanks for publishing this manuscript after I lost confidence the editors were most helpful, more than other journals Best wishes from, Susan Anne Smith, PhD. Australian Breastfeeding Association.
Dear Agrippa Hilda, Editorial Coordinator, Journal of Neuroscience and Neurological Surgery. The entire process including article submission, review, revision, and publication was extremely easy. The journal editor was prompt and helpful, and the reviewers contributed to the quality of the paper. Thank you so much! Eric Nussbaum, MD
Dr Hala Al Shaikh This is to acknowledge that the peer review process for the article ’ A Novel Gnrh1 Gene Mutation in Four Omani Male Siblings, Presentation and Management ’ sent to the International Journal of Clinical Case Reports and Reviews was quick and smooth. The editorial office was prompt with easy communication.
Dear Erin Aust, Editorial Coordinator, Journal of General Medicine and Clinical Practice. We are pleased to share our experience with the “Journal of General Medicine and Clinical Practice”, following the successful publication of our article. The peer review process was thorough and constructive, helping to improve the clarity and quality of the manuscript. We are especially thankful to Ms. Erin Aust, the Editorial Coordinator, for her prompt communication and continuous support throughout the process. Her professionalism ensured a smooth and efficient publication experience. The journal upholds high editorial standards, and we highly recommend it to fellow researchers seeking a credible platform for their work. Best wishes By, Dr. Rakhi Mishra.
Dear Jessica Magne, Editorial Coordinator, Clinical Cardiology and Cardiovascular Interventions, Auctores Publishing LLC. The peer review process of the journal of Clinical Cardiology and Cardiovascular Interventions was excellent and fast, as was the support of the editorial office and the quality of the journal. Kind regards Walter F. Riesen Prof. Dr. Dr. h.c. Walter F. Riesen.
Dear Ashley Rosa, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews, Auctores Publishing LLC. Thank you for publishing our article, Exploring Clozapine's Efficacy in Managing Aggression: A Multiple Single-Case Study in Forensic Psychiatry in the international journal of clinical case reports and reviews. We found the peer review process very professional and efficient. The comments were constructive, and the whole process was efficient. On behalf of the co-authors, I would like to thank you for publishing this article. With regards, Dr. Jelle R. Lettinga.
Dear Clarissa Eric, Editorial Coordinator, Journal of Clinical Case Reports and Studies, I would like to express my deep admiration for the exceptional professionalism demonstrated by your journal. I am thoroughly impressed by the speed of the editorial process, the substantive and insightful reviews, and the meticulous preparation of the manuscript for publication. Additionally, I greatly appreciate the courteous and immediate responses from your editorial office to all my inquiries. Best Regards, Dariusz Ziora
Dear Chrystine Mejia, Editorial Coordinator, Journal of Neurodegeneration and Neurorehabilitation, Auctores Publishing LLC, We would like to thank the editorial team for the smooth and high-quality communication leading up to the publication of our article in the Journal of Neurodegeneration and Neurorehabilitation. The reviewers have extensive knowledge in the field, and their relevant questions helped to add value to our publication. Kind regards, Dr. Ravi Shrivastava.
Dear Clarissa Eric, Editorial Coordinator, Journal of Clinical Case Reports and Studies, Auctores Publishing LLC, USA Office: +1-(302)-520-2644. I would like to express my sincere appreciation for the efficient and professional handling of my case report by the ‘Journal of Clinical Case Reports and Studies’. The peer review process was not only fast but also highly constructive—the reviewers’ comments were clear, relevant, and greatly helped me improve the quality and clarity of my manuscript. I also received excellent support from the editorial office throughout the process. Communication was smooth and timely, and I felt well guided at every stage, from submission to publication. The overall quality and rigor of the journal are truly commendable. I am pleased to have published my work with Journal of Clinical Case Reports and Studies, and I look forward to future opportunities for collaboration. Sincerely, Aline Tollet, UCLouvain.
