Systemic-Pulmonary Shunt

Voll, A; Marstrander, F.; Wexels, Per

doi:10.1378/chest.45.4.396

Cited by 34 publications

(10 citation statements)

References 14 publications

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“…Systemic‐to‐pulmonary vein fistula in patients with previous pulmonary surgery are very rare. The clinical presentations of these arteriovenous fistulae are heterogeneous, and clinical symptoms could be cough, chest pain, hemoptysis, or heart failure . Heart failure post pulmonary transplantation as a clinical presentation of systemic‐to‐pulmonary vein fistulae has never been reported in the literature.…”

Section: Discussionmentioning

confidence: 99%

“…The clinical presentations of these arteriovenous fistulae are heterogeneous, and clinical symptoms could be cough, chest pain, hemoptysis, or heart failure. 3,6 Heart failure post pulmonary transplantation as a clinical presentation of systemic-to-pulmonary vein fistulae has never been reported in the literature. A previous study reported three cases of postoperative systemicto-pulmonary vein fistulae: post thoracotomy after spontaneous pneumothorax; after severe bronchial stenosis; and for bronchiectasis.…”

Section: Discussionmentioning

confidence: 99%

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Multimodality Imaging Diagnostic Approach of Systemic‐to‐Pulmonary Vein Fistulae

et al. 2015

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A 26-year-old man with a history of bilateral lung transplantation for pulmonary cystic fibrosis 6 months before was admitted in our institution for acute heart failure. Cardiac magnetic resonance imaging (CMR) showed an increased aortic output, as aortic flow assessed by velocity mapping was twofold the pulmonary flow, an occluded superior vena cava (SVC), and enlarged azygos vein. A systemic-to-pulmonary vein fistula (SAPVF) was suspected. The selective angiography showed numerous fistulae between intercostals, thyro-cervical, internal mammary arteries and pulmonary veins. The thoracic CT performed before the CMR, which was initially considered as normal, showed well these arteriovenous fistulae after 3D MIP reconstruction. This particular observation highlights the great value of multimodality imaging for the diagnosis of this rare pathology. The MR velocity mapping is a noninvasive imaging technique of great interest to guide the diagnosis of arteriovenous fistulae, and further indicating more invasive complementary imaging modalities like selective arterial angiography.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Multimodality Imaging Diagnostic Approach of Systemic‐to‐Pulmonary Vein Fistulae

et al. 2015

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“…The benefits of intervention in asymptomatic patients are unclear, but it may avoid complications such as chronic heart failure, angina, endocarditis, shunt, aneurysmal formation or rupture [15,16]. Improved cardiac perfusion and hemodynamics can be obtained in symptomatic patients.…”

Section: Discussionmentioning

confidence: 99%

Internal mammary artery to pulmonary vasculature fistula—Case series

Peter

Ferreira

Zelnick

et al. 2006

International Journal of Cardiology

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“…Pleural adhesions have also been a prominent feature in some congenital pulmonary arteriovenous fistulae with a chest wall arterial suppfy, either of developmental origin (Brain and Kauntze, 1960) or following an infiammatory episode (Burchell and Clagett, 1947;Prutzman and Flick, 1954;Voll et al, 1964); in the acquired pulmonary arteriovenous communications recorded by Davila et al (1958) and Dunn and Wexler (1974); and in the systemic to pulmonary fistula of chest wall origin reported by Kiphart et al ( I967 ) . Moreover, such adhesions have often been found to b3 remarkably vascular at operation (Davila et al, 1958;Kagawa et al, 1968), with consequent difficulty in corrective surgery (Burchell md Clagett, 1947;Brain and Kauntze, 1960) or even operative death (Prutzman and Rick, 1954).…”

Section: ;mentioning

confidence: 97%

Systemic to Pulmonary Arterial Fistula of the Chest Wall and Lung Following Lobectomy

Syme

1975

Australas Radiol

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SUMMARY The comparatively few cases on record of shunting of blood from systemic arteries of the chest wall to the pulmonary circulation are classified according to their parietal or pulmonary origin and listed chronologically. The clinical features, plain radiological findings, angiographic investigation and possible aetiological mechanisms are reviewed, with particular reference to five of the group which followed a thoracic surgical procedure. The case is presented of a further fistula fed by multiple intercostal arteries and draining to pulmonary artery branches which complicated lobectomy. Particular reference is made to the plain film appearances of a local pulmonary lesion of vascular configuration and definite notching of adjacent ribs, a combination of findings not previously reported in a postoperative fistula. Stress is laid on the complementary roles of aortography, the definitive contrast study in this instance, and of pulmonary angiography in demonstrating the exact site of the shunt and its magnitude on the one hand, and its effect on the lesser circulation on the other. The development of two separate foci of abnormal vascular communication, each at some distance from the level of the original thoracotomv, is noted to be a further hitherto unrecorded finding for a fistula complicating surgical interference.

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Systemic-Pulmonary Shunt

Cited by 34 publications

References 14 publications

Multimodality Imaging Diagnostic Approach of Systemic‐to‐Pulmonary Vein Fistulae

Multimodality Imaging Diagnostic Approach of Systemic‐to‐Pulmonary Vein Fistulae

Internal mammary artery to pulmonary vasculature fistula—Case series

Systemic to Pulmonary Arterial Fistula of the Chest Wall and Lung Following Lobectomy

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