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Multiple Choice: Chapter 24 Emergencies: Superior Vena Cava Obstruction Question 1. Superior vena cava obstruction (SVCO) is commonly caused by: A Pressure on the heart, which causes back flow in the vena cava B Blockages by tumour or thrombosis preventing blood from flowing out of the heart C Blockages by tumour or thrombosis preventing blood from flowing into the heart D Pulmonary infection due to the presence of bronchiectasis