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Angiology
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Hemiazygous Vein Thrombosis As A Cause of Unexplained Left-Sited Pleural Effusion. A New Syndrome?

Spyridon D. Moulopoulos, M.D.

Alexandra Hospital, Professor and Head Chairman of the Department of Clinical Therapeutics, Athens, Greece

Dimitrios Kelekis, M.D.

Alexandra Hospital, Assoc. Professor and Head of the Department of Radiology, Athens, Greece

Emmanuel J. Diamantopoulos, M.D., FICA

Alexandra Hospital, Instructor, Department of Clinical Therapeutics, Athens, Greece

Savas Toumanidis, M.D.

Alexandra Hospital, Assistant, Department of Clinical Therapeutics, Athens, Greece

In seven cases with pleural effusion transosseal azygography has been per formed, in order to specify any cause for the fluid accumulation that could be related to the azygous system. In 4 cases azygography appeared normal and further laboratory work-up revealed collagen disease, heart failure and lung cancer. In the remaining 3 cases (2 with recent myocardial infarction and 1 with unstable angina) azygography discerned thrombosis of the hemiazygous vein. It is suggested that in cases with an otherwise unexplained left-sited thoracic tran sudate a thrombosis of the hemiazygous vein may be visualized by transosseal azygography.

Angiology, Vol. 37, No. 5, 352-357 (1986)
DOI: 10.1177/000331978603700503
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