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Ann Thorac Surg 1990;50:656-657
© 1990 The Society of Thoracic Surgeons

Articles

Left superior vena cava: A pitfall in computed tomographic diagnosis with surgical implications

P.S. Wong, MB, BS, P. Goldstraw, FRCS*

Department of Thoracic Surgery, Brompton Hospital, London, England

Accepted for publication April 11, 1990.

* Address reprint requests to Mr Goldstraw, Department of Thoracic Surgery, Brompton Hospital, Fulham Rd, London SW3 6HP, England.

We report 2 cases in which computed tomography of the mediastinum demonstrated an abnormality originally misinterpreted as lymphadenopathy but subsequently shown to represent a left superior vena cava. Misinterpretation may result in errors in optimum treatment and may complicate surgical exploration of the mediastinum. These 2 cases are presented to remind radiologists and surgeons of the possibility of this unusual anatomy.




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