Imperial College London
Alternate

Claire L. Shovlin PhD FRCP

Faculty of Medicine, National Heart & Lung Institute

Professor of Practice (Clinical and Molecular Medicine)
 
 
 
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Contact

 

c.shovlin Website

 
 
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Location

 

534Block L Hammersmith HospitalHammersmith Campus

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Summary

 

Publications

Citation

BibTex format

@article{Alsafi:2021:10.1016/j.crad.2021.03.016,
author = {Alsafi, A and Shovlin, CL and Jackson, JE},
doi = {10.1016/j.crad.2021.03.016},
journal = {Clinical Radiology},
pages = {711.e9--711.e15},
title = {Transpleural systemic artery-pulmonary artery communications in the absence of chronic inflammatory lung disease. A case series and review of the literature},
url = {http://dx.doi.org/10.1016/j.crad.2021.03.016},
volume = {76},
year = {2021}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - AIM: To describe the causes and computed tomography (CT) and angiographic appearances of transpleural systemic artery-pulmonary artery shunts in patients without chronic inflammatory lung disease and determine their best management. MATERIALS AND METHODS: All patients referred to a tertiary referral unit between January 2013 and January 2020 in whom a diagnosis of a systemic-pulmonary artery communication without underlying chronic inflammatory lung disease was subsequently made have been included in this report. Medical records and imaging findings were reviewed retrospectively. RESULTS: Ten patients (male: female ratio = 7:3; median age 42 years [range 22-70 years]) with systemic artery-pulmonary artery shunts without chronic inflammatory lung disease were identified. Five were misdiagnosed as having a pulmonary arteriovenous malformation and had been referred for embolisation. In six patients, there was either a history of accidental or iatrogenic thoracic trauma or of inflammatory disease involving the pleura, and in two patients, in whom a previous medical history could not be obtained, there were CT features suggesting previous pleural inflammatory disease. Two shunts were thought to be congenital. All individuals were asymptomatic other than one with localised thoracic discomfort that dated from the time of surgery. All patients were managed conservatively and have remained well with a median follow-up of 4.5 years (range 1-11.3 years). CONCLUSIONS: Localised transpleural systemic artery-pulmonary artery shunts in the absence of chronic inflammatory lung disease are usually related to previous thoracic trauma/intervention or abdominal or pulmonary sepsis involving a pleural or diaphragmatic surface. Congenital shunts are rare. The present study and much of the literature supports conservative management.
AU  - Alsafi,A
AU  - Shovlin,CL
AU  - Jackson,JE
DO  - 10.1016/j.crad.2021.03.016
EP  - 9
PY  - 2021///
SN  - 0009-9260
SP  - 711
TI  - Transpleural systemic artery-pulmonary artery communications in the absence of chronic inflammatory lung disease. A case series and review of the literature
T2  - Clinical Radiology
UR  - http://dx.doi.org/10.1016/j.crad.2021.03.016
UR  - https://www.ncbi.nlm.nih.gov/pubmed/33902886
UR  - https://www.sciencedirect.com/science/article/pii/S0009926021002002?via%3Dihub
UR  - http://hdl.handle.net/10044/1/88572
VL  - 76
ER  -
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