Document Detail

Reversed intrapulmonary right-to-left shunt after banding of the patent ductus venosus.
MedLine Citation:
PMID:  14508274     Owner:  NLM     Status:  MEDLINE    
Diffuse pulmonary microvascular arteriovenous communication developed in an 8-year-old girl with a patent ductus venosus. Tc-99m macroaggregated albumin (MAA) pulmonary perfusion scintigraphy with total-body imaging demonstrated multiple lung perfusion deficits and abnormal tracer uptake in systemic organs with hepatic radioactivity greater than the kidneys, suggesting the presence of right-to-left shunt and abnormal hepatic hemodynamics. I-123 iodoamphetamine transrectal portal scintigraphy revealed a large portosystemic venous shunt. The follow-up Tc-99m MAA perfusion scans after banding of the patent ductus venosus revealed partial improvement of the perfusion deficits and right-to-left shunt, indicating the possible reversibility of this pulmonary shunt complication.
Kazuyoshi Suga; Nobuhiko Ogasawara; Naofumi Matsunaga; Yoshitsugu Sugio; Ryouichi Shimizu
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Clinical nuclear medicine     Volume:  28     ISSN:  0363-9762     ISO Abbreviation:  Clin Nucl Med     Publication Date:  2003 Oct 
Date Detail:
Created Date:  2003-09-25     Completed Date:  2004-03-16     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7611109     Medline TA:  Clin Nucl Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  827-33     Citation Subset:  IM    
Department of Radiology, Yamaguchi University School of Medicine, Ube, Japan.
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MeSH Terms
Iofetamine / diagnostic use*
Liver / blood supply,  radionuclide imaging,  surgery
Portacaval Shunt, Surgical
Portal Vein / abnormalities*,  radionuclide imaging*,  surgery
Radiopharmaceuticals / diagnostic use
Technetium Tc 99m Aggregated Albumin / diagnostic use*
Vascular Diseases / radionuclide imaging*,  surgery
Vena Cava, Inferior / abnormalities*,  radionuclide imaging*,  surgery
Reg. No./Substance:
0/Radiopharmaceuticals; 0/Technetium Tc 99m Aggregated Albumin; 95896-48-3/Iofetamine

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