EURORAD ESR

Case 12168

SVC's ostium obstruction causes a right-to-left shunt: unusual acquired systemic-to-pulmonary venous collateral pathway

Author(s)
F. Ho-Mouye, J-Y Travers

Radiology department,
CHU Felix Guyon,
Allee des topazes,
97400 Saint Denis,
Reunion Island
email: fhm33000@hotmail.com
 
Patient
female, 63 year(s)
 
 
  • Figure 1
    Contrast CT-axial view
     

    SVC and "bag of worms"-like vessels

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Haemodynamics / Flow dynamics;

    Idem

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Haemodynamics / Flow dynamics;

    Idem

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Haemodynamics / Flow dynamics;

    Idem

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Haemodynamics / Flow dynamics;

    Tricuspid valve replacement, right atirum giant thrombus, right to left shunt.

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Haemodynamics / Flow dynamics;

    Tricuspid valve replacement, right atrium giant thrombus, right to left shunt.

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Haemodynamics / Flow dynamics;
     
     
  • Figure 2
    Contrast CT- sagittal view - MIP 5mm
     

    Blood flows from SVC to left atrium through bronchial veinous plexus and azygos vein.

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Haemodynamics / Flow dynamics;

    Idem

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Haemodynamics / Flow dynamics;

    Idem

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Haemodynamics / Flow dynamics;

    Idem

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Haemodynamics / Flow dynamics;
     
     
SVC and "bag of worms"-like vessels
 
Idem
 
Idem
 
Idem
 
Tricuspid valve replacement, right atirum giant thrombus, right to left shunt.
 
Tricuspid valve replacement, right atrium giant thrombus, right to left shunt.
 
Blood flows from SVC to left atrium through bronchial veinous plexus and azygos vein.
 
Idem
 
Idem
 
Idem
 
 
 
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