Superior Vena Cava Syndrome Associated with Right-to-Left Shunt through Systemic-to-Pulmonary Venous Collaterals.
10.3348/kjr.2014.15.2.185
- Author:
Yu Hsiang JUAN
1
;
Sachin S SABOO
;
Vishal ANAND
;
Yiannis S CHATZIZISIS
;
Yu Ching LIN
;
Michael L STEIGNER
Author Information
1. Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA. yjuan@partners.org
- Publication Type:Case Reports
- Keywords:
Superior vena cava syndrome;
Pulmonary venous collaterals;
Computed tomography
- MeSH:
*Collateral Circulation/physiology;
Female;
Humans;
Middle Aged;
Multidetector Computed Tomography;
Phlebography/methods;
Pulmonary Veins/physiopathology/*radiography;
Stroke/complications;
Superior Vena Cava Syndrome/physiopathology/*radiography;
Veins/physiopathology
- From:Korean Journal of Radiology
2014;15(2):185-187
- CountryRepublic of Korea
- Language:English
-
Abstract:
Superior vena cava (SVC) obstruction is associated with the gradual development of venous collaterals. We present a rare form of systemic-to-pulmonary subpleural collateral pathway that developed in the bridging subpleural pulmonary veins in a 54-year-old woman with complete SVC obstruction. This uncommon collateral pathway represents a rare form of acquired right-to-left shunt due to previous pleural adhesions with an increased risk of stroke due to right-to-left venous shunting, which requires lifelong anticoagulation.
