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ANGIOGRAPHIC DEMONSTRATION OF COLLATERAL CIRCULATION IN A PATIENT WITH THE SUPERIOR VENA CAVAL SYNDROME

ROBERT C. BROWN M.D., C. M. K. NELSON M.D., and PETRONIO T. LERONA M.D.

A well documented case of complete superior vena caval obstruction by malignant mediastinal tumor is described.

Three of the possible venous collateral pathways are demonstrated by bilateral arm venography. Of added interest is the incidental partial demonstration of the collateral flow during infusion pyelography.

We were unable to find as detailed an anatomic demonstration of the collateral circulation in the literature in a single patient.


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