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An Aid in the Evaluation of Thoracic Pathology

E. TRUMAN MAYS, MD; RAUL C. GONZALES, MD

AMA Arch Surg. 1964;88(2):233-238.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The idea of introducing radiopaque material into the circulation via the bone marrow was first described by Erhardt and Kneip in 1943.¹ The roentgenographic demonstration of the azygos vein, using an intraosseous technique was first reported by Tori² and Susse³ in 1954. More recently Schobinger⁴ has described individual azygographic patterns in normal and diseased states.

Because the many anatomical relations of the azygos vein may affect it directly or indirectly as they undergo pathologic change, it would seem that the azygogram could be an important diagnostic and prognostic tool.

We have attempted to determine the value of azygography by correlating the clinical, roentgenological, operative, and pathological data in patients with various thoracic diseases.

Anatomy

The adult azygos system consists of two longitudinal pathways which act as a single physiological unit (Fig 1).

The azygos vein arises at the level of the first or second lumbar vertebra . . . [Full Text PDF of this Article]

Author Affiliations
LOUISVILLE, KY

Senior Resident in Surgery, University of Louisville School of Medicine and the Louisville General Hospital (Dr. Mays); Instructor in Radiology, University of Louisville School of Medicine and the Louisville General Hospital (Dr. Gonzales).; From the Departments of Surgery and Radiology, University of Louisville School of Medicine.

Footnotes
Received for publication Sept 18, 1963.

Presented before the Kentucky Chapter of the American College of Surgeons, March 29, 1963.

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