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November 10, 1951


Author Affiliations

New Orleans

From the Heart Station, Charity Hospital of Louisiana and the Department of Medicine, Louisiana State University School of Medicine.

JAMA. 1951;147(11):1051-1052. doi:10.1001/jama.1951.73670280016012g

With the increased utilization of angiocardiography as a diagnostic procedure, many new routes of administration of iodopyracet concentrated solution1 have been introduced to obtain more satisfactory pictures. The purpose of this report is to demonstrate a simple route of injection when the superior vena cava is obstructed. In this situation visualization of the cardiac chambers and great vessels cannot be obtained by injecting iodopyracet into the usual site, i. e., veins in the antecubital region.

A. L., a 54-year-old Negro, was admitted on Oct. 3, 1949, because of a superior mediastinal obstruction that produced paralysis of the vocal cords, partial obstruction of the trachea and esophagus, right periocular edema, and cervical lymphadenopathy.

Kolmer's test was positive; microscopic study of a cervical node showed tuberculous lymphadenitis; acid-fast stains were positive. Venous pressure was 240 mm. of water in the left arm and 195 mm. of water in the right arm.