Systemic to pulmonary venous shunt in superior vena cava occlusion.
This report describes systemic-to-pulmonary venous connections at the pleural level resulting from superior vena cava occlusion. The interval development of new venous collaterals within a 3-year period represents an advanced manifestation of SVC occlusion in this patient with a history of pleural disease. In this case, progressive venous thrombosis caused by underlying hypercoaguability led to the development of collaterals in unusual sites, including systemic-to-pulmonary venous shunting, and resulting in progressive cyanosis and death.
M
M
Cihangiroglu
P
P
MacEneaney
H
H
MacMahon
A
A
Dachman
D000328:Adult; D003097:Collateral Circulation / Q000502:physiology*; D006801:Humans; D008297:Male; D011667:Pulmonary Veins / Q000000981:diagnostic imaging / Q000503:physiopathology*; D013479:Superior Vena Cava Syndrome / Q000000981:diagnostic imaging* / Q000503:physiopathology; D014057:Tomography, X-Ray Computed