Pulmonary vein stenosis mimicking interstitial lung disease

Carriço, Filipa; Gurioli, Carlo; Piciucchi, Sara; Dubini, Alessandra; Tomassetti, Sara; Poletti, Venerino

doi:10.1016/j.pulmoe.2020.05.010

Cited by 4 publications

(6 citation statements)

References 19 publications

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“…1,2,9 Severity is variable, ranging from asymptomatic to life-threatening disease, and is usually, but not always, related to the degree of stenosis and to the number of PVs involved. 3,4,[13][14][15] Because of this unpredictable clinical course, the decision for immediate PV stenosis correction after its intraoperative diagnosis should be tailored to each clinical situation. In our patient, the benefits of immediate correction had to be weighed against the risk of a second bypass course, following a relatively prolonged first bypass for a double valve procedure.…”

Section: Discussionmentioning

confidence: 99%

“…When necessary, PV angioplasty is usually the choice, although restenosis may require surgical management. 1,3,15 In short, the diagnosis of PV stenosis can be made intraoperatively by TEE whose diagnostic accuracy is comparable to that of the "gold-standard" methods, with the advantage of providing additional data about the functional significance of a PV stenosis. The decision of whether or not to proceed with immediate PV stenosis correction should take into account the patient's clinical situation, the diversity of clinical outcomes, and possible therapeutic options.…”

Section: Discussionmentioning

confidence: 99%

“…1 PV stenosis after open heart surgery, which does not include pulmonary veins (PVs) procedures, is an uncommonly reported complication. 3,4 Although a left ventricular (LV) vent is sometimes placed via the RUPV, this was not used in the present case.…”

Section: Discussionmentioning

confidence: 99%

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An Unusual Case of Pulmonary Vein Stenosis Diagnosed With Intraoperative Transesophageal Echocardiography

Silva¹,

Pereira

Silva

2021

A&A Practice

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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An Unusual Case of Pulmonary Vein Stenosis Diagnosed With Intraoperative Transesophageal Echocardiography

Silva¹,

Pereira

Silva

2021

A&A Practice

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“…Pulmonary vein stenosis (PVS) is a dreadful and underdiagnosed condition with a complex etiology and non-specific clinical presentation, and its diagnosis must be frequently confirmed in conjunction with clinical manifestations and imaging modalities. [1][2][3] Related drugs are of limited efficacy, and surgery and interventional therapy are the main therapeutic options. However, restenosis following procedures (surgical and interventional treatment) is a tricky situation.…”

Section: Introductionmentioning

confidence: 99%

Pulmonary Vein Stenosis: A Review

Jia

Wang

et al. 2023

Cardiology Discovery

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Pulmonary vein stenosis (PVS) is an extremely rare and lethal disease caused by multiple etiologies. PVS has a bimodal distribution in the population, affecting children and adults. Congenital PVS is the usual PVS type in children, which sometimes develops after cardiothoracic surgery. Acquired PVS, in turn, is the most common PVS type in adults. A review of the relevant literature has shown that PVS after radiofrequency ablation of atrial fibrillation is the most common, as well as that caused by compression of proliferative fibrous tissues or tumor in the mediastinum (eg, PVS caused by fibrosing mediastinitis, lung tumors, metastases, etc). This article provides a comprehensive review of PVS in terms of embryology and anatomy, etiology and triggers, classification, clinical symptoms and signs, treatment, and prognosis, intending to promote the understanding and treatment of this disease.

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“…Despite several recently published studies demonstrating these characteristic extravascular MDCT abnormalities involving the lungs and pleura of pediatric patients with PVS, accurate diagnosis of PVS in pediatric patients continues to be challenging due to difficulties in distinguishing the pleuropulmonary MDCT abnormalities of PVS from prematurity-related lung disease (PLD), which is one of the main differential diagnostic considerations [7,19,20]. Early and accurate diagnosis of each of these conditions is critical to guiding appropriate treatment and management.…”

Section: Introductionmentioning

confidence: 99%

Pleuropulmonary MDCT Findings: Comparison between Children with Pulmonary Vein Stenosis and Prematurity-Related Lung Disease

et al. 2022

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Purpose: To retrospectively compare the pleuropulmonary MDCT findings in children with pulmonary vein stenosis (PVS) and prematurity-related lung disease (PLD). Materials and Methods: All consecutive infants and young children (≤18 years old) who underwent thoracic MDCT studies from July 2004 to November 2021 were categorized into two groups—children with PVS (Group 1) and children with PLD without PVS (Group 2). Two pediatric radiologists independently evaluated thoracic MDCT studies for the presence of pleuropulmonary abnormalities as follows—(1) in the lung (ground-glass opacity (GGO), triangular/linear plaque-like opacity (TLO), consolidation, nodule, mass, cyst(s), interlobular septal thickening, and fibrosis); (2) in the airway (bronchial wall thickening and bronchiectasis); and (3) in the pleura (thickening, effusion, and pneumothorax). Interobserver agreement between the two reviewers was evaluated with the Kappa statistic. Results: There were a total of 103 pediatric patients (60 males (58.3%) and 43 females (41.7%); mean age, 1.7 years; range, 2 days–7 years). Among these 103 patients, 49 patients (47.6%) comprised Group 1 and the remaining 54 patients (52.4%) comprised Group 2. In Group 1, the observed pleuropulmonary MDCT abnormalities were—pleural thickening (44/49; 90%), GGO (39/49; 80%), septal thickening (39/49; 80%), consolidation (4/49; 8%), and pleural effusion (1/49; 2%). The pleuropulmonary MDCT abnormalities seen in Group 2 were—GGO (45/54; 83%), TLO (43/54; 80%), bronchial wall thickening (33/54; 61%), bronchiectasis (30/54; 56%), cyst(s) (5/54; 9%), pleural thickening (2/54; 4%), and pleural effusion (2/54; 4%). Septal thickening and pleural thickening were significantly more common in pediatric patients with PVS (Group 1) (p < 0.001). TLO, bronchial wall thickening, and bronchiectasis were significantly more frequent in pediatric patients with PLD without PVS (Group 2) (p < 0.001). There was high interobserver kappa agreement between the two independent reviewers for detecting pleuropulmonary abnormalities on thoracic MDCT angiography studies (k = 0.99). Conclusion: Pleuropulmonary abnormalities seen on thoracic MDCT can be helpful for distinguishing PVS from PLD in children. Specifically, the presence of septal thickening and pleural thickening raises the possibility of PVS, whereas the presence of TLO, bronchial wall thickening and bronchiectasis suggests PLD in the pediatric population.

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Pulmonary vein stenosis mimicking interstitial lung disease

Cited by 4 publications

References 19 publications

An Unusual Case of Pulmonary Vein Stenosis Diagnosed With Intraoperative Transesophageal Echocardiography

An Unusual Case of Pulmonary Vein Stenosis Diagnosed With Intraoperative Transesophageal Echocardiography

Pulmonary Vein Stenosis: A Review

Pleuropulmonary MDCT Findings: Comparison between Children with Pulmonary Vein Stenosis and Prematurity-Related Lung Disease

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