Fudan University Journal of Medical Sciences

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Superior vena cava syndrome and pulmonary artery stenosis in a patient with lung metastases of bladder cancer

Jian-ke LI, Ya-nan GU, Jun-hao LI, Liang-wen WANG, Ning-zi TIAN, Wei CHEN, Xiao-lin WANG, Yi CHEN

Fudan University Journal of Medical Sciences, 2024, 51(02): 277-279, 284. DOI: 10.3969/j.issn.1672-8467.2024.02.021

Fig 1 Chest CT and pulmonary artery CTA before treatment The lung window (A) and mediastinal window (B) of the axial HRCT showed a soft tissue shadow around the upper lobe of the right lung; C: Sagittal oblique CTA image of the PA showed stenosis at the origin of the right PA (the red arrow); D: A severe stenosis of the SVC (the blue arrow) and a large amount of collateral circulation around SVC. SVC: Superior vena cava; PA: Pulmonary artery.

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Fig 2 DSA images of superior vena cava before and after treatment A and B: Superior vena cava stenosis with collateral circulation; C: Stenosis of the right main pulmonary artery, the branches of right superior pulmonary artery were not visualized; D: Post-operative angiography showed that unobstructed blood flow in the superior vena cava. The red arrow in A, B and C showed the narrow segment, while the red arrow showed the placement of the stent in the superior vena cava.

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