Seminars in Nuclear Medicine
Volume 34, Issue 2 , Pages 157-158 , April 2004

Absent pulmonary uptake on 99mTc MAA perfusion lung scan due to severe right-to-left shunt

  • Elinor Goshen

      Affiliations

    • Department of Nuclear Medicine, the Chaim Sheba Medical Center, Tel Hashomer, Israel, and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
    • Corresponding Author InformationAddress reprint requests to E. Goshen, Department of Nuclear Medicine, Chaim Sheba Medical Center, Tel Hashomer 52621, Israel
    • ,
  • Yakov Oksman

      Affiliations

    • Department of Nuclear Medicine, the Chaim Sheba Medical Center, Tel Hashomer, Israel, and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
    • ,
  • Galina Rotenberg

      Affiliations

    • Department of Nuclear Medicine, the Chaim Sheba Medical Center, Tel Hashomer, Israel, and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
    • ,
  • S.Tzila Zwas

      Affiliations

    • Department of Nuclear Medicine, the Chaim Sheba Medical Center, Tel Hashomer, Israel, and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel

References 

  1. Kume N, Suga K, Uchisako H, et al.  Abnormal extrapulmonary accumulation of 99mTc-MAA during lung perfusion scanning. Ann Nucl Med. 1995;9:179–184
  2. Brendel AJ, Larnaudie B, Lambert B, et al.  Unsuccessful lung scan due to major right-to-left shunt through a sinus venosus septal defect. J Nucl Med. 1985;26:1029–1034
  3. Rosenkranz S, Stablein A, Deutsch HJ, et al.  Anomalous drainage of the right superior vena cava into the left atrium in a 61-year-old woman. Int J Cardiol. 1998;64:285–291
  4. Park HM, Smith ET, Silberstein EB. Isolated right superior vena cava draining into left atrium diagnosed by radionuclide angiocardiography. J Nucl Med. 1973;14:240–242
  5. Ezekowitz MD, Alderson PO, Bulkley BH, et al.  Isolated drainage of the superior vena cava into the left atrium in a 52-year-old man (A rare congenital malformation in the adult presenting with cyanosis, polycythemia, and an unsuccessful lung scan). Circulation. 1978;58:751–756
  6. Sherafat M, Friedman S, Waldhausen JA. Persistent left superior vena cava draining into the left atrium with absent right superior vena cava. Ann Thorac Surg. 1971;11:160–164
  7. Wilson ES. Systemic to pulmonary venous communication in the superior vena caval syndrome. Am J Roentgenol. 1976;127:247–249
  8. Hutchins WW, Kirchner PT, MacMahon H. Perfusion lung scan in superior vena cava obstruction (Demonstration of venous collaterals and systemic-pulmonary venous shunt). Am J Roentgenol. 1982;138:754–756
  9. Kistler AM, Silverman ED, Sharpe MB, et al.  Superior vena cava obstruction in fibrosing mediastinitis (Demonstration of right-to-left shunt and venous collaterals). Nucl Med Commun. 1991;12:1067–1074
  10. Keren G, Boichis H, Zwas TS, et al.  Pulmonary arterio-venous fistulae in hepatic cirrhosis. Arch Dis Child. 1983;58:302–304
  11. Shijo H, Hisano S, Sasaki H, et al.  Detection of pulmonary telangiectasia using dynamic pulmonary perfusion imaging in patients with liver cirrhosis. Clin Nucl Med. 1989;14:179–182
  12. Murad M, Sami SA, Hashmi R, et al.  Rare complication of sinus venosus-type atrial septal defect repair. Eur J Nucl Med Mol Imaging. 2003;30:1315

PII: S0001-2998(03)00109-0

doi: 10.1053/j.semnuclmed.2003.12.007

Seminars in Nuclear Medicine
Volume 34, Issue 2 , Pages 157-158 , April 2004

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