Korean Journal of Radiology

  • 제15권2호
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  • Pages.185-187
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  • 2014
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  • 1229-6929(pISSN)
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  • 2005-8330(eISSN)
대한영상의학회 (The Korean Society of Radiology)
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DOI QR코드

DOI QR Code

Superior Vena Cava Syndrome Associated with Right-to-Left Shunt through Systemic-to-Pulmonary Venous Collaterals

  • Juan, Yu-Hsiang (Department of Radiology, Brigham and Women's Hospital, Harvard Medical School) ;
  • Saboo, Sachin S. (Department of Radiology, Brigham and Women's Hospital, Harvard Medical School) ;
  • Anand, Vishal (Department of Radiology, Brigham and Women's Hospital, Harvard Medical School) ;
  • Chatzizisis, Yiannis S. (Department of Radiology, Brigham and Women's Hospital, Harvard Medical School) ;
  • Lin, Yu-Ching (Department of Medical Imaging and Intervention, Chang Gung Memorial Hospital, Keelung and Chang Gung University) ;
  • Steigner, Michael L. (Department of Radiology, Brigham and Women's Hospital, Harvard Medical School)
  • 투고 : 2013.09.18
  • 심사 : 2013.11.26
  • 발행 : 2014.04.01
⟨ 이전 논문 다음 논문 ⟩

초록

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.

키워드

참고문헌

  1. Eren S, Karaman A, Okur A. The superior vena cava syndrome caused by malignant disease. Imaging with multi-detector row CT. Eur J Radiol 2006;59:93-103 https://doi.org/10.1016/j.ejrad.2006.01.003
  2. Kim HC, Chung JW, Yoon CJ, Lee W, Jae HJ, Kim YI, et al. Collateral pathways in thoracic central venous obstruction: three-dimensional display using direct spiral computed tomography venography. J Comput Assist Tomogr 2004;28:24-33 https://doi.org/10.1097/00004728-200401000-00004
  3. Sze DY, Fleischmann D, Ma AO, Price EA, McConnell MV. Embolization of a symptomatic systemic to pulmonary (rightto- left) venous shunt caused by fibrosing mediastinitis and superior vena caval occlusion. J Vasc Interv Radiol 2010;21:140-143 https://doi.org/10.1016/j.jvir.2009.09.022
  4. Kapur S, Paik E, Rezaei A, Vu DN. Where there is blood, there is a way: unusual collateral vessels in superior and inferior vena cava obstruction. Radiographics 2010;30:67-78 https://doi.org/10.1148/rg.301095724
  5. Kim HC, Chung JW, Park SH, Kim HB, Jae HJ, Lee W, et al. Systemic-to-pulmonary venous shunt in superior vena cava obstruction: depiction on computed tomography venography. Acta Radiol 2004;45:269-274 https://doi.org/10.1080/02841850410004265
  6. Koetters KT. Superior vena cava syndrome. J Emerg Nurs 2012;38:135-138; quiz 199 https://doi.org/10.1016/j.jen.2010.08.019
  7. Lawler LP, Fishman EK. Thoracic venous anatomy multidetector row CT evaluation. Radiol Clin North Am 2003;41:545-560 https://doi.org/10.1016/S0033-8389(03)00034-4
  8. Sheth S, Ebert MD, Fishman EK. Superior vena cava obstruction evaluation with MDCT. AJR Am J Roentgenol 2010;194:W336-W346 https://doi.org/10.2214/AJR.09.2894
  9. Kim HJ, Kim HS, Chung SH. CT diagnosis of superior vena cava syndrome: importance of collateral vessels. AJR Am J Roentgenol 1993;161:539-542 https://doi.org/10.2214/ajr.161.3.8352099