Congenital Systemic Arteriovenous Fistula between the Descending Aorta, Azygos Vein, and Superior Vena Cava

CHEST Journal ◽  
1981 ◽  
Vol 80 (5) ◽  
pp. 647-649 ◽  
Author(s):  
Pilar Soler ◽  
Ashok V. Mehta ◽  
Otto L. Garcia ◽  
Gerard Kaiser ◽  
Dolores Tamer
2016 ◽  
Vol 39 (1) ◽  
pp. 107-109 ◽  
Author(s):  
Jing Li ◽  
Qinghua Mao ◽  
Zhanguo Sun ◽  
Qingchen Li

2016 ◽  
Vol 10 ◽  
pp. CMC.S38153
Author(s):  
Mariana S. Parahuleva ◽  
Mehmet Burgazli ◽  
Nedim Soydan ◽  
Wolfgang Franzen ◽  
Norbert Guttler ◽  
...  

We report an interesting case of a man with a persistent left superior vena cava (PLSVC) with left azygos vein who underwent electrophysiological evaluation. Further evaluation revealed congenital dilated azygos vein, while a segment connecting the inferior vena cava (IVC) to the hepatic vein and right atrium was missing. The azygos vein drained into the superior vena cava, and the hepatic veins drained directly into the right atrium. The patient did not have congenital anomalies of the remaining thoracoabdominal vasculature.


Vascular ◽  
2017 ◽  
Vol 26 (3) ◽  
pp. 338-340 ◽  
Author(s):  
Afsha Aurshina ◽  
Anil Hingorani ◽  
Natalie Marks ◽  
Enrico Ascher

Objective With the implementation of the K-DOQI guidelines, more patients are in need of long-term dialysis catheters until maturation of the arteriovenous fistula. However, on occasion, when placing a tunneled cuffed catheter for hemodialysis, we have encountered difficulty with passing the guidewire in spite of demonstration of a patent cervical portion of the internal jugular vein on duplex. Herein, we review our experience with intraoperative venoplasty for placement of Tesio™ catheters (Medcomp Harleysville, PA). Methods Of the 1147 Tesio™ catheters placed since 1997 by our service, 35 venograms were performed due to difficulty encountered with placement of the guidewire. Patent veins were all crossed with the use of angle-guiding catheters, angled glidewires, and a torque vise. If chronically occluded intrathoracic veins were identified, an alternate site was selected for the placement of the Tesio™ catheter. Results Of the 35 cases with difficulty in catheter placement, venogram demonstrated a patent but tortuous vein in 9, chronically occluded intrathoracic veins in 6, and severe stenosis of the intrathoracic veins in 20. In 19 cases with severe stenosis of the intrathoracic veins, balloon angioplasty with an 8-mm balloon was successfully performed, which allowed successful placement of a functional Tesio™ catheter. In the additional one case, the catheter was not able to be placed despite angioplasty. Seven lesions that underwent balloon angioplasty were in the innominate vein, 11 were in the proximal internal jugular vein, and two were in the superior vena cava. Conclusion Venous balloon angioplasty can be used to maintain options for the site of access for tunneled cuffed catheters and may be necessary to assist with placement of long term cuffed dialysis catheters.


Circulation ◽  
1970 ◽  
Vol 41 (1) ◽  
pp. 55-58 ◽  
Author(s):  
KEWAL K. JAIN ◽  
HENRY R. WAGNER ◽  
EDWARD C. LAMBERT

Author(s):  
Engin Akgul ◽  
Sinan Erkul ◽  
Gulen Sezer Alptekin Erkul ◽  
Ahmet Hakan Vural

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