CTICasesEsophageal Varices Anastomosing with an Inferior Pulmonary Vein
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Imaging findings
Extensive esophageal varices extending into the mediastinum, demonstrating an anastomosis with an inferior pulmonary vein via an extension from the pulmonary ligament to a sublobar septum.
Key takeaways
Esophageal varices, common in liver failure, can form direct anastomotic connections with inferior pulmonary veins. This is clinically important as interventional attempts to embolize varices carry a risk of embolic material entering the pulmonary venous system, potentially leading to systemic embolization, stroke, or organ damage.
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