Pulmonary vein varix: diagnosis with multi-slice helical CT

Vanherreweghe, Els; Rigauts, H; Bogaerts, Y; Meeus, Luc

doi:10.1007/s003300000381

Cited by 38 publications

(19 citation statements)

References 4 publications

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“…The CT images of the left atrium show a diverticulum-like structure measuring 0.9 cm, along the right superior aspect of the left atrium (arrow). An anterior view of a 3D volume rendering of the left atrium represent a form of pulmonary varix at the distal end of a very small accessory pulmonary vein [22,23]. Type 2 variants are left atrial contour abnormalities with a larger base that could represent either larger diverticuli or focal aneurysmal dilatations.…”

Section: Discussionmentioning

confidence: 99%

Accessory appendages of the left atrium as seen during 64-slice coronary CT angiography

Duerinckx

Vanovermeire

2007

Int J Cardiovasc Imaging

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Section: Discussionmentioning

confidence: 99%

Accessory appendages of the left atrium as seen during 64-slice coronary CT angiography

Duerinckx

Vanovermeire

2007

Int J Cardiovasc Imaging

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“…The significance of the pulmonary venous dilatation observed in PS is unknown. Although pulmonary varicosity is generally asymptomatic, exceedingly rare complications may occur secondary to thrombosis of varices, pulmonary embolism [Eberhard, 1994; Slavotinek et al, 2000; Cohen, 2001], and rupture of the varices into the pleural space or into a bronchus with hemoptysis [Vanherreweghe et al, 2000]. The recognition of pulmonary varices and serial follow‐up imaging can be used to predict clinical outcome of pulmonary venous dilatation in patients with PS.…”

Section: Discussionmentioning

confidence: 99%

Pulmonary manifestations in Proteus syndrome: Pulmonary varicosities and bullous lung disease

Lim

Kim

et al. 2011

Am. J. Med. Genet.

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We report on two patients with Proteus syndrome (PS), with emphasis on its pulmonary manifestations. The first patient was a 6-year-old girl diagnosed with PS at 5 years of age. The pulmonary abnormalities first observed at age 3 years and included streaky densities with accentuated vascular markings detected by chest radiography. The patient had persistent abnormalities on follow-up chest radiographs. Chest computed tomography (CT) scans showed diffuse pulmonary venous dilatations. The second patient was a 10-year-old boy diagnosed with PS at age 4 years. Chest radiography and CT scans showed patchy and streaky densities intermixed with small bullae, which were interpreted as pneumonia with post-inflammatory pneumatoceles. The patient developed diffuse enlargement of air spaces of the lungs at age 10 years with severe respiratory compromise. Although pulmonary manifestations in PS are uncommon, recognition of pulmonary vein malformation and the presentation of enlarged air spaces in the lungs at an earlier age are important for accurate diagnosis. The plain radiograph findings of accentuated vascular markings seen in patients with PS may appear similar to interstitial or chronic pneumonia. This report emphasizes the features of lung involvement in children with PS and suggests that specific attention be paid to pulmonary manifestations using chest CT scans.

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“…Multislice helical computed tomography, magnetic resonance imaging and transesophageal echocardiography may in some cases obviate the need of pulmonary angiography, which shows the characteristic opacification of a dilated pulmonary vessel only at the venous phase [4]. Pulmonary varices may progressively enlarge over time, especially in patients with mitral regurgitation, thereby requiring surgery valvular replacement, which may result in regression of the varix.…”

Section: Discussionmentioning

confidence: 99%

Pulmonary Varix Mimicking Pulmonary Arteriovenous Malformation in a Patient with Turner Syndrome

Maillard¹,

Cottin²,

Étienne-Mastroïanni³

et al. 2005

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A 36-year-old asymptomatic female with Turner syndrome was referred for a 3-cm opacity of the left lung detected by routine chest X-ray. A computed tomography scan of the chest suggested a vascular lesion such as pulmonary arteriovenous malformation, and transcatheter embolotherapy was considered. The lack of a right-to-left shunt on contrast echocardiography led to suspect an alternate diagnosis. Magnetic resonance imaging and pulmonary angiography eventually demonstrated a pulmonary varix associated with a partial anomalous pulmonary venous return. Contrast echocardiography may help to distinguish between pulmonary varix and arteriovenous malformation.

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Pulmonary vein varix: diagnosis with multi-slice helical CT

Cited by 38 publications

References 4 publications

Accessory appendages of the left atrium as seen during 64-slice coronary CT angiography

Accessory appendages of the left atrium as seen during 64-slice coronary CT angiography

Pulmonary manifestations in Proteus syndrome: Pulmonary varicosities and bullous lung disease

Pulmonary Varix Mimicking Pulmonary Arteriovenous Malformation in a Patient with Turner Syndrome

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