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          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; Doppler ultrasound of the right thoracic wall identifies prominent right-sided intercostal arteries showing spectral broadening &#40;increased peak systolic velocity &#91;134 cm&#47;s&#93; and decreased resistance index &#91;0&#46;53&#93;&#41;&#44; suggesting an arterial fistula with an increased and turbulent blood flow&#46; &#40;B&#41; Doppler ultrasound of the left thoracic wall shows a normal doppler waveform of the intercostal arteries &#40;low peak systolic velocity &#91;27 cm&#47;s&#93; and high resistance index &#91;0&#46;84&#93;&#41;&#46; &#40;C&#41; Coronal thoracic maximum intensity projection &#40;MIP&#41; CT image shows hypertrophy of the right superior intercostal arteries &#40;arrows&#41; compared to the left hemithorax&#46; &#40;D&#41; Coronal thoracic MIP CT image shows an unexpected early and prominent contrast enhancement of the right upper lobe vessels &#40;asterisks&#41; due to retrograde filling through the hypertrophied intercostal arteries&#46; &#40;E&#41; Volumetric reconstruction CT image shows the hypertrophy of the posterior right intercostal arteries&#46; &#40;F&#41; Digital subtraction angiogram shows the right intercostal arteries embolization procedure using polyvinyl alcohol particles &#40;300&#8211;500 &#956;m in size&#41;&#46;</p>"
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Vol. 60. Issue 1.
Pages 53 (January 2024)
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Vol. 60. Issue 1.
Pages 53 (January 2024)
Clinical Image
Transpleural Systemic Artery to Pulmonary Artery Fistulas: Doppler Ultrasound Findings
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Luis Gorospe
Corresponding author
luisgorospe@yahoo.com

Corresponding author.
, Miguel Ángel Gómez-Bermejo, Ana Palomera-Rico
Department of Radiology, Ramón y Cajal University Hospital, Madrid, Spain
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