Differential diagnosis of anomalous pulmonary venous return. A clinical-roentgenological study.
The paper presents an analysis of the results of clinical and roentgenological examination of 88 patients with anomalous pulmonary venous return (42 females, 46 males), aged 2 weeks to 33 years. This defect has highly diverse anatomical variants. Its most frequent form is partial anomalous drainage (70.5%), while total drainage is much less frequent (29.5%). As regards the return level of the pulmonary veins, the site occurring most frequently is the supracardial one (63%), followed by the cardial (20%), mixed (11%) and infracardial site (6%). The authors compare the findings of X-ray examination with the results of catheterization of the right and left heart, selective angiocardiography (62) and the findings made intraoperatively (82), and assess the value of routine X-ray examination for differential diagnosis of partial and total anomalous pulmonary venous drainage at different return levels.
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D003326:Coronary Circulation; D003937:Diagnosis, Differential; D005260:Female; D006330:Heart Defects, Congenital / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000503:physiopathology; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D011667:Pulmonary Veins / Q000002:abnormalities*; D011859:Radiography