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CLINICAL IMAGES
Year : 2014  |  Volume : 139  |  Issue : 2  |  Page : 326

A rare type of partial anomalous pulmonary venous return in late diagnosed patients


1 Department of Radiology, Aksaz Military Hospital, Mugla, Turkey
2 Department of Radiology GATA Haydarpasa Teaching Hospital, Istanbul, Turkey

Date of Web Publication9-Apr-2014

Correspondence Address:
Ali Kemal Sivrioglu
Department of Radiology, Aksaz Military Hospital, Mugla
Turkey
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Source of Support: None, Conflict of Interest: None


PMID: 24718412

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How to cite this article:
Sivrioglu AK, Sönmez G. A rare type of partial anomalous pulmonary venous return in late diagnosed patients. Indian J Med Res 2014;139:326

How to cite this URL:
Sivrioglu AK, Sönmez G. A rare type of partial anomalous pulmonary venous return in late diagnosed patients. Indian J Med Res [serial online] 2014 [cited 2019 Aug 24];139:326. Available from: http://www.ijmr.org.in/text.asp?2014/139/2/326/130309

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 [Figure 1]A, 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 [Figure 2]A, B). A diagnosis of partial anomalous pulmonary venous return (PAPVR) was made. The patient was only treated for heart failure.
Figure 1: 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.

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Figure 2: (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).

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    Figures

  [Figure 1], [Figure 2]



 

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