Computed tomographic parenchymal lung findings in premature infants with pulmonary vein stenosis

Background Developmental pulmonary vein pulmonary vein stenosis in the setting of prematurity is a rare and poorly understood condition. Diagnosis can be challenging in the setting of chronic lung disease of prematurity. High-resolution non-contrast chest computed tomography (CT) is the conventional...

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Bibliographic Details
Published in:Pediatric radiology 2023-08, Vol.53 (9), p.1874-1884
Main Authors: O’Callaghan, Barry, Zablah, Jenny E., Weinman, Jason P., Englund, Erin K., Morgan, Gareth J., Ivy, D. Dunbar, Frank, Benjamin S., Mong, David Andrew, Malone, LaDonna J., Browne, Lorna P.
Format: Article
Language:English
Subjects:
Angiography
Chest
Computed tomography
Correlation
Dysplasia
Heart diseases
Hypertension
Imaging
Lung diseases
Medicine
Medicine & Public Health
Neonates
Neuroradiology
Nuclear Medicine
Oncology
Original Article
Parenchyma
Patients
Pediatrics
Phenotypes
Pulmonary hypertension
Radiology
Soft tissues
Stenosis
Ultrasound
Veins
Veins & arteries
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Summary:Background Developmental pulmonary vein pulmonary vein stenosis in the setting of prematurity is a rare and poorly understood condition. Diagnosis can be challenging in the setting of chronic lung disease of prematurity. High-resolution non-contrast chest computed tomography (CT) is the conventional method of evaluating neonates for potential structural changes contributing to severe lung dysfunction and pulmonary hypertension but may miss pulmonary venous stenosis due to the absence of contrast and potential overlap in findings between developmental pulmonary vein pulmonary vein stenosis and lung disease of prematurity. Objective To describe the parenchymal changes of pediatric patients with both prematurity and pulmonary vein stenosis, correlate them with venous disease and to describe the phenotypes associated with this disease. Materials and methods A 5-year retrospective review of chest CT angiography (CTA) imaging in patients with catheterization-confirmed pulmonary vein stenosis was performed to identify pediatric patients (
ISSN:1432-1998
0301-0449
1432-1998
DOI:10.1007/s00247-023-05673-y