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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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| Published in: | Pediatric radiology 2023-08, Vol.53 (9), p.1874-1884 |
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| container_end_page | 1884 |
| container_issue | 9 |
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| container_title | Pediatric radiology |
| container_volume | 53 |
| creator | 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. |
| description | 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 ( |
| doi_str_mv | 10.1007/s00247-023-05673-y |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2807913160</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2849176515</sourcerecordid><originalsourceid>FETCH-LOGICAL-c326t-4121effcd95a4558e1586f70fe10d78d5717b4833151c0fb44017e597f6fbe5e3</originalsourceid><addsrcrecordid>eNp9kMFO3DAQhi1UBHTbF-gBWeqFS8pMHMfJEa2grYTUC5yNNxnvZpXYwU6o9u0x7BaqHnryWP7mH8_H2BeEbwigLiNAXqgMcpGBLJXIdkfsDAuRZ1jX1Ye_6lP2McYtAAiJ4oSdCoVQQo1n7GHph3GeqOWTH_w6mHHTNXw0gVyz2Q2m5_3s1tx2ru3cOvLO8THQYKY5ULpY46bIf3fTho9zP3hnwo4_UaLiRM7HLn5ix9b0kT4fzgW7v7m-W_7Ibn99_7m8us0akZdTVmCOZG3T1tIUUlaEsiqtAksIrapaqVCtikoIlNiAXRUFoCJZK1vaFUkSC3axzx2Df5wpTnroYkN9bxz5Oeq8AlWjwBIS-vUfdOvn4NLvElXUqEqJMlH5nmqCjzGQ1WPohrSfRtAv_vXev07-9at_vUtN54foeTVQ-9byR3gCxB6I6cmtKbzP_k_sM8KakfQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2849176515</pqid></control><display><type>article</type><title>Computed tomographic parenchymal lung findings in premature infants with pulmonary vein stenosis</title><source>Springer Nature</source><creator>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.</creator><creatorcontrib>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.</creatorcontrib><description>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 (< 18 years) who had a history of prematurity (< 35 weeks gestation). Demographic and clinical data associated with each patient were collected, and the patients’ CTAs were re-reviewed to evaluate pulmonary veins and parenchyma. Patients with post-operative pulmonary vein stenosis and those with congenital heart disease were excluded. Data was analyzed and correlated for descriptive purposes.
Results
A total of 17 patients met the inclusion criteria (12 female, 5 male). All had pulmonary hypertension. There was no correlation between mild, moderate, and severe grades of bronchopulmonary dysplasia and the degree of pulmonary vein stenosis. There was a median of 2 (range 1–4) diseased pulmonary veins per patient. In total, 41% of the diseased pulmonary veins were atretic. The right upper and left upper lobe pulmonary veins were the most frequently diseased (
n
= 13/17, 35%,
n
= 10/17, 27%, respectively). Focal ground glass opacification, interlobular septal thickening, and hilar soft tissue enlargement were always associated with the atresia of an ipsilateral vein.
Conclusion
Recognition of the focal parenchymal changes that imply pulmonary vein stenosis, rather than chronic lung disease of prematurity changes, may improve the detection of a potentially treatable source of pulmonary hypertension, particularly where nonangiographic studies result in a limited direct venous assessment.</description><identifier>ISSN: 1432-1998</identifier><identifier>ISSN: 0301-0449</identifier><identifier>EISSN: 1432-1998</identifier><identifier>DOI: 10.1007/s00247-023-05673-y</identifier><identifier>PMID: 37106091</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>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</subject><ispartof>Pediatric radiology, 2023-08, Vol.53 (9), p.1874-1884</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c326t-4121effcd95a4558e1586f70fe10d78d5717b4833151c0fb44017e597f6fbe5e3</cites><orcidid>0000-0002-8080-5276</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37106091$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>O’Callaghan, Barry</creatorcontrib><creatorcontrib>Zablah, Jenny E.</creatorcontrib><creatorcontrib>Weinman, Jason P.</creatorcontrib><creatorcontrib>Englund, Erin K.</creatorcontrib><creatorcontrib>Morgan, Gareth J.</creatorcontrib><creatorcontrib>Ivy, D. Dunbar</creatorcontrib><creatorcontrib>Frank, Benjamin S.</creatorcontrib><creatorcontrib>Mong, David Andrew</creatorcontrib><creatorcontrib>Malone, LaDonna J.</creatorcontrib><creatorcontrib>Browne, Lorna P.</creatorcontrib><title>Computed tomographic parenchymal lung findings in premature infants with pulmonary vein stenosis</title><title>Pediatric radiology</title><addtitle>Pediatr Radiol</addtitle><addtitle>Pediatr Radiol</addtitle><description>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 (< 18 years) who had a history of prematurity (< 35 weeks gestation). Demographic and clinical data associated with each patient were collected, and the patients’ CTAs were re-reviewed to evaluate pulmonary veins and parenchyma. Patients with post-operative pulmonary vein stenosis and those with congenital heart disease were excluded. Data was analyzed and correlated for descriptive purposes.
Results
A total of 17 patients met the inclusion criteria (12 female, 5 male). All had pulmonary hypertension. There was no correlation between mild, moderate, and severe grades of bronchopulmonary dysplasia and the degree of pulmonary vein stenosis. There was a median of 2 (range 1–4) diseased pulmonary veins per patient. In total, 41% of the diseased pulmonary veins were atretic. The right upper and left upper lobe pulmonary veins were the most frequently diseased (
n
= 13/17, 35%,
n
= 10/17, 27%, respectively). Focal ground glass opacification, interlobular septal thickening, and hilar soft tissue enlargement were always associated with the atresia of an ipsilateral vein.
Conclusion
Recognition of the focal parenchymal changes that imply pulmonary vein stenosis, rather than chronic lung disease of prematurity changes, may improve the detection of a potentially treatable source of pulmonary hypertension, particularly where nonangiographic studies result in a limited direct venous assessment.</description><subject>Angiography</subject><subject>Chest</subject><subject>Computed tomography</subject><subject>Correlation</subject><subject>Dysplasia</subject><subject>Heart diseases</subject><subject>Hypertension</subject><subject>Imaging</subject><subject>Lung diseases</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neonates</subject><subject>Neuroradiology</subject><subject>Nuclear Medicine</subject><subject>Oncology</subject><subject>Original Article</subject><subject>Parenchyma</subject><subject>Patients</subject><subject>Pediatrics</subject><subject>Phenotypes</subject><subject>Pulmonary hypertension</subject><subject>Radiology</subject><subject>Soft tissues</subject><subject>Stenosis</subject><subject>Ultrasound</subject><subject>Veins</subject><subject>Veins & arteries</subject><issn>1432-1998</issn><issn>0301-0449</issn><issn>1432-1998</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp9kMFO3DAQhi1UBHTbF-gBWeqFS8pMHMfJEa2grYTUC5yNNxnvZpXYwU6o9u0x7BaqHnryWP7mH8_H2BeEbwigLiNAXqgMcpGBLJXIdkfsDAuRZ1jX1Ye_6lP2McYtAAiJ4oSdCoVQQo1n7GHph3GeqOWTH_w6mHHTNXw0gVyz2Q2m5_3s1tx2ru3cOvLO8THQYKY5ULpY46bIf3fTho9zP3hnwo4_UaLiRM7HLn5ix9b0kT4fzgW7v7m-W_7Ibn99_7m8us0akZdTVmCOZG3T1tIUUlaEsiqtAksIrapaqVCtikoIlNiAXRUFoCJZK1vaFUkSC3axzx2Df5wpTnroYkN9bxz5Oeq8AlWjwBIS-vUfdOvn4NLvElXUqEqJMlH5nmqCjzGQ1WPohrSfRtAv_vXev07-9at_vUtN54foeTVQ-9byR3gCxB6I6cmtKbzP_k_sM8KakfQ</recordid><startdate>20230801</startdate><enddate>20230801</enddate><creator>O’Callaghan, Barry</creator><creator>Zablah, Jenny E.</creator><creator>Weinman, Jason P.</creator><creator>Englund, Erin K.</creator><creator>Morgan, Gareth J.</creator><creator>Ivy, D. Dunbar</creator><creator>Frank, Benjamin S.</creator><creator>Mong, David Andrew</creator><creator>Malone, LaDonna J.</creator><creator>Browne, Lorna P.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7TK</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-8080-5276</orcidid></search><sort><creationdate>20230801</creationdate><title>Computed tomographic parenchymal lung findings in premature infants with pulmonary vein stenosis</title><author>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.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c326t-4121effcd95a4558e1586f70fe10d78d5717b4833151c0fb44017e597f6fbe5e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Angiography</topic><topic>Chest</topic><topic>Computed tomography</topic><topic>Correlation</topic><topic>Dysplasia</topic><topic>Heart diseases</topic><topic>Hypertension</topic><topic>Imaging</topic><topic>Lung diseases</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neonates</topic><topic>Neuroradiology</topic><topic>Nuclear Medicine</topic><topic>Oncology</topic><topic>Original Article</topic><topic>Parenchyma</topic><topic>Patients</topic><topic>Pediatrics</topic><topic>Phenotypes</topic><topic>Pulmonary hypertension</topic><topic>Radiology</topic><topic>Soft tissues</topic><topic>Stenosis</topic><topic>Ultrasound</topic><topic>Veins</topic><topic>Veins & arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>O’Callaghan, Barry</creatorcontrib><creatorcontrib>Zablah, Jenny E.</creatorcontrib><creatorcontrib>Weinman, Jason P.</creatorcontrib><creatorcontrib>Englund, Erin K.</creatorcontrib><creatorcontrib>Morgan, Gareth J.</creatorcontrib><creatorcontrib>Ivy, D. Dunbar</creatorcontrib><creatorcontrib>Frank, Benjamin S.</creatorcontrib><creatorcontrib>Mong, David Andrew</creatorcontrib><creatorcontrib>Malone, LaDonna J.</creatorcontrib><creatorcontrib>Browne, Lorna P.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Family Health Database (Proquest)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>ProQuest Biological Science Journals</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest advanced technologies & aerospace journals</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>O’Callaghan, Barry</au><au>Zablah, Jenny E.</au><au>Weinman, Jason P.</au><au>Englund, Erin K.</au><au>Morgan, Gareth J.</au><au>Ivy, D. Dunbar</au><au>Frank, Benjamin S.</au><au>Mong, David Andrew</au><au>Malone, LaDonna J.</au><au>Browne, Lorna P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Computed tomographic parenchymal lung findings in premature infants with pulmonary vein stenosis</atitle><jtitle>Pediatric radiology</jtitle><stitle>Pediatr Radiol</stitle><addtitle>Pediatr Radiol</addtitle><date>2023-08-01</date><risdate>2023</risdate><volume>53</volume><issue>9</issue><spage>1874</spage><epage>1884</epage><pages>1874-1884</pages><issn>1432-1998</issn><issn>0301-0449</issn><eissn>1432-1998</eissn><abstract>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 (< 18 years) who had a history of prematurity (< 35 weeks gestation). Demographic and clinical data associated with each patient were collected, and the patients’ CTAs were re-reviewed to evaluate pulmonary veins and parenchyma. Patients with post-operative pulmonary vein stenosis and those with congenital heart disease were excluded. Data was analyzed and correlated for descriptive purposes.
Results
A total of 17 patients met the inclusion criteria (12 female, 5 male). All had pulmonary hypertension. There was no correlation between mild, moderate, and severe grades of bronchopulmonary dysplasia and the degree of pulmonary vein stenosis. There was a median of 2 (range 1–4) diseased pulmonary veins per patient. In total, 41% of the diseased pulmonary veins were atretic. The right upper and left upper lobe pulmonary veins were the most frequently diseased (
n
= 13/17, 35%,
n
= 10/17, 27%, respectively). Focal ground glass opacification, interlobular septal thickening, and hilar soft tissue enlargement were always associated with the atresia of an ipsilateral vein.
Conclusion
Recognition of the focal parenchymal changes that imply pulmonary vein stenosis, rather than chronic lung disease of prematurity changes, may improve the detection of a potentially treatable source of pulmonary hypertension, particularly where nonangiographic studies result in a limited direct venous assessment.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>37106091</pmid><doi>10.1007/s00247-023-05673-y</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-8080-5276</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1432-1998 |
| ispartof | Pediatric radiology, 2023-08, Vol.53 (9), p.1874-1884 |
| issn | 1432-1998 0301-0449 1432-1998 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2807913160 |
| source | Springer Nature |
| 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 |
| title | Computed tomographic parenchymal lung findings in premature infants with pulmonary vein stenosis |
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