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Radiology

Anomalies of the Systemic Venous Return

Built from Obstetric Imaging

The first 25 slides of Anomalies of the Systemic Venous Return
The first 25 slides, exactly as they appear. The full deck has 52 content slides.

What’s inside

6 sections · 52 slides

  1. 01

    Overview

    • What this covers

    1 slide

  2. 02

    The plumbing behind the problem

    What systemic venous return means, and which veins are involved

    • Blood has to get back to the heart
    • The four venous systems that can go wrong
    • The great veins entering the heart
    • What normal looks like, so you can spot the odd one
    • The caval veins running through the trunk
    • Which faults actually occur
    • The three you will meet most
    • 0.4–0.5%
    • Reading those numbers
    • Why these veins form wrongly
    • Isolated, or in company?

    11 slides

  3. 03

    Persistent left superior vena cava

    The commonest congenital anomaly of the thoracic venous system

    • A vein on the left that should not be there
    • How a persistent left superior vena cava arises
    • Where the extra vein empties
    • The dilated coronary sinus
    • Dilated coronary sinus on the four-chamber view
    • The three-vessel and trachea view
    • A fourth vessel beside the ductal arch
    • The pipe sign
    • The pipe sign on a parasagittal view
    • What a PLSVC keeps company with
    • Does a PLSVC actually harm the baby?

    11 slides

  4. 04

    Interrupted inferior vena cava

    When the lower body's main vein stops short and the blood takes a detour

    • The lower trunk that stops halfway
    • The detour the blood takes
    • How the interruption comes about
    • Spotting it on the scan
    • The company this one keeps
    • The one that may need treatment

    6 slides

  5. 05

    Agenesis of the ductus venosus

    The link between the portal and systemic veins that never formed

    • The shortcut through the fetal liver
    • Umbilical vein, ductus venosus and the liver
    • The whole fetal circulation at a glance
    • When the link never forms
    • Where the umbilical vein goes instead
    • Why draining outside the liver is the dangerous one
    • Shunt, big heart, hydrops — in plain words
    • Cardiomegaly in the third trimester
    • The umbilical vein running into the right atrium
    • Colour Doppler confirms the abnormal drainage
    • Making the diagnosis, step by step
    • What decides the outlook here

    12 slides

  6. 06

    Signs, scanning and outlook

    Pulling the three anomalies back into one working routine

    • A scanning routine that catches all three
    • The classic signs, side by side
    • Extra tools when the anatomy is confusing
    • What happens after birth
    • What the referring physician needs to know
    • Key points to carry away
    • References
    • References (continued)
    • Suggested readings
    • Obstetric Imaging: Fetal Diagnosis and Care, 2nd Edition

    11 slides