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Vascular pedicle is bordered on the right by venous structures (right brachiocephalic vein above and superior vena cava) and on the left by an arterial structure (the left subclavian artery origin). The azygos vein (black oval) is seen en face above the right main bronchus.
The vascular pedicle width can help differentiate different forms of pulmonary edema:
- normal or narrowed-capillary permeability pulmonary edema
- normal-acute cardiac failure
- wide-fluid overload or renal failure pulmonary edema and chronic heart failure.
The vascular pedicle width (VPW) is the distance between parallel lines drawn from the point at which the superior vena cava intersects the right main bronchus and a line drawn at the takeoff of the left subclavian artery from the aorta. The mean vascular pedicle width is 38-58 mm on posteroanterior chest radiographs.
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- 2. Milne EN, Pistolesi M, Miniati M et-al. The radiologic distinction of cardiogenic and noncardiogenic edema. AJR Am J Roentgenol. 1985;144 (5): 879-94. AJR Am J Roentgenol (abstract) - Pubmed citation