title: Right-to-left shunt from systemic venous to pulmonary venous system developing after SVC obstruction.
abstract: This report and review of the literature describe a rare form of right-to-left shunt found in patients with superior vena cava (SVC) obstruction. Following SVC obstruction, collateral vessels may develop between the systemic venous system and the pulmonary venous system causing the alveolar space and right heart to be bypassed. Perception of this unusual shunting of blood on enhanced chest CT may help explain clinical symptoms of hypoxia.
authors.affiliation: Department of Radiology, Indiana University School of Medicine, Indianapolis.
authors.forename: S M
authors.initials: SM
authors.lastname: Stockberger
authors.forename: K W
authors.initials: KW
authors.lastname: West
authors.forename: M D
authors.initials: MD
authors.lastname: Cohen
mesh_terms: D002648:Child; D003097:Collateral Circulation; D005260:Female; D006801:Humans; D013479:Superior Vena Cava Syndrome / Q000150:complications* / Q000503:physiopathology; D014057:Tomography, X-Ray Computed