Radiology Rounds 71 Year Old Female,

71 year old female, ? Aortic dissection Laura Avery, MD Massachusetts General Hospital Harvard Medical School Boston, MA, USA

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

What did you see? Incidental vascular finding, look again if necessary In which direction is the flow of blood through the anomalous vessel? Partial Anomalous Pulmonary Venous Return AKA PAPVR Blood flow from lungs into brachiocephalic vein. Not left SVC where blood would be flowing from brachiocephalic to right heart, usually through coronary sinus.

Incidental vascular finding, look again if necessary

In which direction is the flow of blood through the anomalous vessel?

Partial Anomalous Pulmonary Venous Return

AKA PAPVR

Blood flow from lungs into brachiocephalic vein.

Not left SVC where blood would be flowing from brachiocephalic to right heart, usually through coronary sinus.

 

PAPVR What direction is the shunt? Left to right Oxygenated blood mixes With Deoxygenated blood blood returns to the right side of the heart can lead to Right sided overload

What direction is the shunt?

Left to right