Translate this page into:
A rare type of partial anomalous pulmonary venous return in late diagnosed patients
+For correspondence: draksivrioglu@gmail.com
This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
This article was originally published by Medknow Publications & Media Pvt Ltd and was migrated to Scientific Scholar after the change of Publisher.
A 55-year old woman was referred to the department of medicine, GATA Haydarpasa Teaching Hospital, Istanbul, Turkey, in January 2013 with dyspnoea and chest pain. The patient's complaints were present for a long time (8-10 yr) but she did not consult the doctor. In her medical history there was mediastinal mass surgery when she was 30 years old. On the chest X-ray, evident cardiomegaly was seen. Echocardiography showed dilation in all heart chambers. There was decreased ejection fraction compatible with heart failure. On the contrast-enhanced chest computerized tomography (CECT), cardiomegaly and pulmonary artery dilatation were observed. In addition, all pulmonary veins of the left lung and some pulmonary veins of the right lung have joined to form an anomalous ascendant vertical vein in the subcarinal area (Fig. 1A, B). The vertical vein passing through the aortapulmonary window was localized adjacent to the left aortic arch. Consequently, it was seen draining into the left brachiocephalic vein. Some of the right lung pulmonary veins were draining into the right atrium (Fig. 2A, B). A diagnosis of partial anomalous pulmonary venous return (PAPVR) was made. The patient was only treated for heart failure.
- The axial CECT shows a vertical vein (arrows) adjacent to the left aortic arch (A) and left main brochus anteriorly (B). In addition, dilatation of the main pulmonary artery is seen.
-
(A) The coronal CT image showing the vertical vein. The decreased caliber of vertical vein is seen at the level of the aortapulmonary window (arrows). Left upper lobe pulmonary vein is seen draining into the vertical vein (arrow head). (B) The right lower lobe pulmonary vein (double arrows) is seen draining into the left atrium (asterisk). Bifurcation of vertical vein is also seen (thick arrow).
