A complex pulmonary vein varix -- diagnosis with ECG gated MDCT, MRI and invasive pulmonary angiography

A case of an asymptomatic 32-year-old male with a complex congenital pulmonary vein varix is reported herein. Chest X-ray incidentally revealed a tubular opacity passing from the periphery of the left lingula to the mediastinum. ECG gated multidetector computed tomography showed the opacity to be a...

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Bibliographic Details
Published in:Journal of radiology case reports 2012-12, Vol.6 (12), p.9-16
Main Authors: Berecova, Zuzana, Neuschl, Vladimír, Boruta, Peter, Masura, Jozef, Ghersin, Eduard
Format: Article
Language:English
Subjects:
Adult
Angiography
Cardiac-Gated Imaging Techniques
Electrocardiography
Heart Atria - diagnostic imaging
Humans
Incidental Findings
Lung - blood supply
Lung - diagnostic imaging
Magnetic Resonance Imaging
Male
Mediastinum - diagnostic imaging
Pulmonary Veins - abnormalities
Pulmonary Veins - diagnostic imaging
Pulmonary Veins - pathology
Thoracic Radiology
Varicose Veins - congenital
Varicose Veins - diagnostic imaging
Varicose Veins - pathology
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Summary:A case of an asymptomatic 32-year-old male with a complex congenital pulmonary vein varix is reported herein. Chest X-ray incidentally revealed a tubular opacity passing from the periphery of the left lingula to the mediastinum. ECG gated multidetector computed tomography showed the opacity to be a vessel emptying into the left atrium via the left superior pulmonary vein. In addition, a second vascular structure was noted within the posterior mediastinum that was emptying into the same pulmonary vein. These findings were also confirmed by magnetic resonance imaging, 4D magnetic resonance angiography and invasive arterial angiography. Based on multimodality imaging findings the diagnosis of complex congenital pulmonary venous varix with posterior mediastinal extension was established.
ISSN:1943-0922
1943-0922
DOI:10.3941/jrcr.v6i12.1017