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Yu-Hsiang Juan,Sachin S. Saboo,Vishal Anand,Yiannis S. Chatzizisis,Yu-Ching Lin,Michael L. Steigner 대한영상의학회 2014 Korean Journal of Radiology Vol.15 No.2
Superior vena cava (SVC) obstruction is associated with the gradual development of venous collaterals. We present a rare form of systemic-to-pulmonary subpleural collateral pathway that developed in the bridging subpleural pulmonary veins in a 54-year-old woman with complete SVC obstruction. This uncommon collateral pathway represents a rare form of acquired right-to-left shunt due to previous pleural adhesions with an increased risk of stroke due to right-to-left venous shunting, which requires lifelong anticoagulation.