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. 2022 Jan 10;31(4):975-978.
doi: 10.1055/s-0041-1739377. eCollection 2021 Oct.

Radiology of Anomalies of Pulmonary Veins

Mukund Dattatray Rahalkar  1 , Anand M Rahalkar  1
Affiliations

Radiology of Anomalies of Pulmonary Veins

Mukund Dattatray Rahalkar et al. Indian J Radiol Imaging. .

Abstract

A study of 43 cases of suspected congenital diseases of heart was performed in Sahyadri Hospital, Pune, over a period of 5 to 6 years with dual source computed tomography (CT) in adolescents as well as children. Only the images of anomalies of pulmonary veins are presented. Compared with different radiological techniques, CT offers many advantages, as it can be undertaken even in neonates, yields more information than MR in a very little time, is better than 2D echo, when there is a small inter-costal window in some infants and is noninvasive. This study proved useful for further medical/surgical management.

Keywords: congenital diseases; inferior vena cava; vertical vein.

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Conflict of interest statement

Conflict of Interest None declared.

Figures

Fig. 1
Fig. 1
A female neonate, presented with respiratory distress and cyanosis soon after birth. MPR image of MDCT shows supracardiac type of total anomalous return of pulmonary veins ( white arrow ). MDCT, multidetector computed tomography.
Fig. 2
Fig. 2
In this child CXR was normal. CT showed supra-cardiac type of TAPVR with all pulmonary veins on right draining into left SVC (vertical vein, marked by a white arrow ), then into right brachiocephalic vein and normal SVC. TAPVR, total anomalous pulmonary venous return.
Fig. 3
Fig. 3
A 7-year-old female with ASD. MDCT shows a small tributary of RIPV opening into SVC—cardiac type ( marked by arrows ). MDCT, multidetector computed tomography.
Fig. 4
Fig. 4
A 5-month-old male child with poor growth and lethargy and cardiomegaly on chest X-ray. MPR images of MDCT show right superior and inferior pulmonary veins are draining into right atrium ( marked by a thick arrow ) and left superior and inferior pulmonary veins draining into left atrium ( marked by a thin arrow ).due to partial anomalous pulmonary venous return. MDCT, multidetector computed tomography.
Fig. 5
Fig. 5
CXR shows a curved density to the right of heart and increasing in size inferiorly, mimicking a Turkish sword with a curved blade that broadens inferiorly. MPR image of MDCT shows a scimitar vein to the right of RA and having a shape of a scimitar.
Fig. 6
Fig. 6
A male neonate, presented with respiratory distress and cyanosis soon after birth. MPR image of MDCT shows infracardiac type of total anomalous pulmonary of venous return into portal veins.
Fig. 7
Fig. 7
CXR showed a round and lobulated density in right lower zone. On close view vascular shadows were noted around it. Pulmonary angiography showed this to be AVM supplied by a pulmonary artery and drained by a pulmonary vein.
Fig. 8
Fig. 8
CXR in this adolescent showed a round density to the right and behind right hilum ( arrow ). A nodal mass or a vascular lesion was suspected. CT showed this to be a pulmonary venous angioma ( arrowhead .). CT, computed tomography.
Fig. 9
Fig. 9
PA view of CXR shows bilateral anomalous curvilinear vessels in the lower pulmonary regions. MDCT with axial and coronal MIPs demonstrates bilateral pulmonary veins with anomalous routes in the lower pulmonary regions but draining normally into the left atrium. Coronal volume-rendering 3D reconstruction shows the anomalous veins and normal pulmonary arteries. PA, posteroanterior; 3D, three dimensional; MDCT, multidetector computed tomography.
See this image and copyright information in PMC

References

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