title: Systemic-to-pulmonary venous shunt in a patient with non-Hodgkin lymphoma: A case report and review of the literature.
abstract: We describe a case of a systemic-to-pulmonary venous shunt secondary to superior vena cava obstruction in a patient with newly diagnosed non-Hodgkin lymphoma. This rare condition manifested with symptoms of dyspnea and hypoxemia that were out of proportion to the pleural effusion diagnosed on chest imaging. Standard treatment of such rare collateral plexuses is observation. However, it is important for clinicians to be cognizant that in rare cases such plexuses can lead to right-to-left shunt complications such as embolism.
authors.affiliation: Department of Internal Medicine, Division of Critical Care, New York Hospital Queens, Flushing, NY, USA ; Department of Cardiovascular Disease, Broward General Hospital, Fort Lauderdale, FL, USA.
authors.forename: Azriel
authors.initials: A
authors.lastname: Avezbadalov
authors.affiliation: Department of Internal Medicine, Division of Critical Care, New York Hospital Queens, Flushing, NY, USA ; Department of Critical Care, Division of Anesthesiology and Critical Care, MD Anderson Cancer Center, Houston, TX, USA.
authors.forename: Cristina
authors.initials: C
authors.lastname: Gutierrez
keywords: Non-Hodgkin lymphoma; Right-to-left shunt; Shunt; Superior vena cava; Systemic to pulmonary venous