Document Detail

Embolization of a symptomatic systemic to pulmonary (right-to-left) venous shunt caused by fibrosing mediastinitis and superior vena caval occlusion.
MedLine Citation:
PMID:  20123198     Owner:  NLM     Status:  MEDLINE    
Paradoxical embolization can occur when a right-to-left shunt allows a venous thromboembolus to escape filtration by the lungs. Venous collateral pathways draining into the left heart incited by superior vena cava obstruction are a rare acquired right-to-left shunt. Herein, the authors report on a case of transient ischemic attack in a patient with vena caval occlusion secondary to histoplasmosis-related fibrosing mediastinitis, with subclavian vein thrombosis and a right-to-left extracardiac shunt diagnosed with echocardiography. Despite the complexity of the collateral network, this shunt was successfully eradicated with coil embolization.
Daniel Y Sze; Dominik Fleischmann; Adrian O Ma; Elizabeth A Price; Michael V McConnell
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of vascular and interventional radiology : JVIR     Volume:  21     ISSN:  1535-7732     ISO Abbreviation:  J Vasc Interv Radiol     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2010-02-03     Completed Date:  2010-04-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9203369     Medline TA:  J Vasc Interv Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  140-3     Citation Subset:  IM    
Division of Interventional Radiology, H-3646, Stanford University Medical Center, 300 Pasteur Dr, Stanford, CA 94305-5642, USA. <>
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MeSH Terms
Embolization, Therapeutic / methods*
Mediastinitis / complications*,  therapy
Middle Aged
Pulmonary Artery / abnormalities*
Pulmonary Fibrosis / complications*,  therapy
Superior Vena Cava Syndrome / complications*,  therapy*
Treatment Outcome
Vena Cava, Superior / abnormalities*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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