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The Annals of Thoracic Surgery, Vol 50, 656-657, Copyright © 1990 by The Society of Thoracic Surgeons

ARTICLES

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

PS Wong and P Goldstraw
Department of Thoracic Surgery, Brompton Hospital, London.

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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