With the increased use of computed tomography angiography for evaluation of pulmonary embolism and aortic dissection, radiologists often encounter other vascular findings within the thorax. This exhibit aims to:
Review arterial, venous, and mixed collateral vascular pathways.
Review pathophysiology and CT findings of these pathways.
Discuss relationship between radiologic findings and patient's symptoms.
Arterial to arterial collaterals in the setting of:
Anomalous left coronary artery arising from the pulmonary artery
Aortic coarcation
Blalock-Taussing Shunt
Chronic PE
Acute PE
Absence of right pulmonary artery
Venous to venous collaterals:
Anterior, middle, and posterior mediastinal arcades
SVC and brachiocephalic obstruction (common and uncommon collaterals)
Type 2 hepatopulmonary syndrome
Fontan
Left sided SVC
Mixed arterial and venous collaterals:
Intralobar and extralobar sequestration
HHT pre/post-treatment
Neovascularity in eisenmenger and pulmonary arterial hypertension
Left SVC draining to LA
Raptis, D,
Bhalla, S,
Raptis, C,
Avoiding Collateral Damage: Review of Important Collateral Pathways in the Chest and Their Clinical Significance. Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL.
http://archive.rsna.org/2014/14005190.html