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Superior Vena Cava Syndrome and Bilateral Subclavian Vein Thrombosis

CT and Radionuclide Venography Correlation

CONTE, FREDERIC A., M.D.; ORZEL, JOSEPH A., M.D.

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Radionuclide venography (RNV) and CT with contrast infusion were performed in a patient wth superior vena cava (SVC) syndrome and upper extremity swelling due to SVC and bilateral subclavian vein thrombosis resulting from infection of a Le Veen peritoneovenous shunt. Although CT was suggestive of thrombosis and excluded extrinsic compression by a mass, obstruction of the SVC and deliniation of collateral venous channels were best demonstrated by RNV.

From the Department of Nuclear Medicine, Wilford Hall USAF Medical Center, San Antonio, Texas

© Lippincott-Raven Publishers.