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Radionuclide angiography of azygos continuation of inferior vena cava in left atrial isomerism (polysplenia syndrome).

Abstract
Interruption of the inferior vena cava with azygos continuation is present in at least 65% of the patients suffering from left atrial isomerism (polysplenia syndrome). First-pass radionuclide angiography using a peripheral vein of the foot correctly diagnosed interruption of the inferior vena cava in seven patients. Four had azygos continuation to the right superior vena cava and in three it was to the left superior vena cava. In all the patients, cardiac catheterization confirmed the diagnosis. Four underwent surgical correction (or palliation), three are waiting for an operation. Radionuclide angiography is a simple outpatient procedure and useful in the clinical diagnosis of this syndrome.
AuthorsN Roguin, M Lam, A Frenkel, D Front
JournalClinical nuclear medicine (Clin Nucl Med) Vol. 12 Issue 9 Pg. 708-10 (Sep 1987) ISSN: 0363-9762 [Print] United States
PMID3665312 (Publication Type: Journal Article)
Topics
  • Abnormalities, Multiple (diagnostic imaging)
  • Azygos Vein (abnormalities, diagnostic imaging)
  • Cardiac Catheterization
  • Child
  • Child, Preschool
  • Echocardiography
  • Electrocardiography
  • Female
  • Heart Atria (abnormalities)
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Radionuclide Angiography
  • Spleen (abnormalities)
  • Syndrome
  • Vena Cava, Inferior (abnormalities, diagnostic imaging)

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