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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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Published in: | Journal of radiology case reports 2012-12, Vol.6 (12), p.9-16 |
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container_title | Journal of radiology case reports |
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creator | Berecova, Zuzana Neuschl, Vladimír Boruta, Peter Masura, Jozef Ghersin, Eduard |
description | 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. |
doi_str_mv | 10.3941/jrcr.v6i12.1017 |
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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.</description><identifier>ISSN: 1943-0922</identifier><identifier>EISSN: 1943-0922</identifier><identifier>DOI: 10.3941/jrcr.v6i12.1017</identifier><identifier>PMID: 23365698</identifier><language>eng</language><publisher>United States: EduRad</publisher><subject>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</subject><ispartof>Journal of radiology case reports, 2012-12, Vol.6 (12), p.9-16</ispartof><rights>Copyright Journal of Radiology Case Reports 2012</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c393t-435579f64be168203e7510dde07d0fb87baa8e860110191904c2ef0da53233393</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3557127/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3557127/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23365698$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Berecova, Zuzana</creatorcontrib><creatorcontrib>Neuschl, Vladimír</creatorcontrib><creatorcontrib>Boruta, Peter</creatorcontrib><creatorcontrib>Masura, Jozef</creatorcontrib><creatorcontrib>Ghersin, Eduard</creatorcontrib><title>A complex pulmonary vein varix -- diagnosis with ECG gated MDCT, MRI and invasive pulmonary angiography</title><title>Journal of radiology case reports</title><addtitle>J Radiol Case Rep</addtitle><description>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.</description><subject>Adult</subject><subject>Angiography</subject><subject>Cardiac-Gated Imaging Techniques</subject><subject>Electrocardiography</subject><subject>Heart Atria - diagnostic imaging</subject><subject>Humans</subject><subject>Incidental Findings</subject><subject>Lung - blood supply</subject><subject>Lung - diagnostic imaging</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Mediastinum - diagnostic imaging</subject><subject>Pulmonary Veins - abnormalities</subject><subject>Pulmonary Veins - diagnostic imaging</subject><subject>Pulmonary Veins - pathology</subject><subject>Thoracic Radiology</subject><subject>Varicose Veins - congenital</subject><subject>Varicose Veins - diagnostic imaging</subject><subject>Varicose Veins - pathology</subject><issn>1943-0922</issn><issn>1943-0922</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><recordid>eNpVkc9PwjAUxxujEUTP3kyPHhy069ZtFxOCiCQQE4Pnptu6UbK1s90m_PeOHxo89SV97_N9Lx8A7jEaksjDo41JzLClErtDjHBwAfo48oiDIte9PKt74MbaDUKUUp9cg55LCPVpFPZBPoaJLqtCbGHVFKVW3OxgK6SCLTdyCx0HppLnSltp4bes13A6mcGc1yKFy5fJ6gkuP-aQqxRK1XIrW3HG4SqXOje8Wu9uwVXGCyvuTu8AfL5OV5M3Z_E-m0_GCychEakdj_h-EGXUiwWmoYuICHyM0lSgIEVZHAYx56EIKcLduRGOkJe4IkMp90l3U4cYgOcjt2riUqSJULXhBauMLLuNmOaS_f9Rcs1y3bJ9MHaDDvB4Ahj91Qhbs1LaRBQFV0I3lmE3JAHB_iFrdGxNjLbWiOwvBiO218P2ethBD9vr6SYezrf76__1QX4AoueM3A</recordid><startdate>20121201</startdate><enddate>20121201</enddate><creator>Berecova, Zuzana</creator><creator>Neuschl, Vladimír</creator><creator>Boruta, Peter</creator><creator>Masura, Jozef</creator><creator>Ghersin, Eduard</creator><general>EduRad</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20121201</creationdate><title>A complex pulmonary vein varix -- diagnosis with ECG gated MDCT, MRI and invasive pulmonary angiography</title><author>Berecova, Zuzana ; Neuschl, Vladimír ; Boruta, Peter ; Masura, Jozef ; Ghersin, Eduard</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c393t-435579f64be168203e7510dde07d0fb87baa8e860110191904c2ef0da53233393</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Angiography</topic><topic>Cardiac-Gated Imaging Techniques</topic><topic>Electrocardiography</topic><topic>Heart Atria - diagnostic imaging</topic><topic>Humans</topic><topic>Incidental Findings</topic><topic>Lung - blood supply</topic><topic>Lung - diagnostic imaging</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Mediastinum - diagnostic imaging</topic><topic>Pulmonary Veins - abnormalities</topic><topic>Pulmonary Veins - diagnostic imaging</topic><topic>Pulmonary Veins - pathology</topic><topic>Thoracic Radiology</topic><topic>Varicose Veins - congenital</topic><topic>Varicose Veins - diagnostic imaging</topic><topic>Varicose Veins - pathology</topic><toplevel>online_resources</toplevel><creatorcontrib>Berecova, Zuzana</creatorcontrib><creatorcontrib>Neuschl, Vladimír</creatorcontrib><creatorcontrib>Boruta, Peter</creatorcontrib><creatorcontrib>Masura, Jozef</creatorcontrib><creatorcontrib>Ghersin, Eduard</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of radiology case reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Berecova, Zuzana</au><au>Neuschl, Vladimír</au><au>Boruta, Peter</au><au>Masura, Jozef</au><au>Ghersin, Eduard</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A complex pulmonary vein varix -- diagnosis with ECG gated MDCT, MRI and invasive pulmonary angiography</atitle><jtitle>Journal of radiology case reports</jtitle><addtitle>J Radiol Case Rep</addtitle><date>2012-12-01</date><risdate>2012</risdate><volume>6</volume><issue>12</issue><spage>9</spage><epage>16</epage><pages>9-16</pages><issn>1943-0922</issn><eissn>1943-0922</eissn><abstract>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.</abstract><cop>United States</cop><pub>EduRad</pub><pmid>23365698</pmid><doi>10.3941/jrcr.v6i12.1017</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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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 |
title | A complex pulmonary vein varix -- diagnosis with ECG gated MDCT, MRI and invasive pulmonary angiography |
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