PMC3327022_01
Chest reontgenogram showing pulmonary venous hypertension with pneumothorax on the left side
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F1
The chest roentgenogram showed pneumothorax on the left side and uniform reticular pattern on the right side [Figure 1].
Pre and post cine-angiogram in anterio - posterior projection of endovascular stenting of the vertical vein. (a) Cine angiogram showing the critically obstructed vertical vein with thread like lumen (arrow). (b) Poststent deployment showing good flow in the vertical vein and well - positioned stent (arrow)
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F2
TAPVR with critical obstruction of left vertical vein and small confluence [Figure 2a]. The obstructed left vertical vein was crossed with a 0.014" Galeo extra support wire (Biotronics, Germany), using a 5F Judkins right coronary guiding catheter (Cordis, USA). ProLink stent was deployed to cover the small residual stenosis. Post-procedure angiogram showed establishment of good communication between the pulmonary venous confluence and the left innominate vein [Figure 2b].
The chest roentgenogram showing plethora and the stent position corresponding to the vertical vein (arrow)
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F3
The repeat chest roentgenogram showed some degree of reduction of pulmonary venous congestion and increased pulmonary vascularity [Figure 3].
PMC3327022_02