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 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.
Department of Radiology, Slovak Medical University, Bratislava, Slovakia. hapka78@hotmail.com
Zuzana
Z
Berecova
Vladimír
V
Neuschl
Peter
P
Boruta
Jozef
J
Masura
Eduard
E
Ghersin
D000328:Adult; D000792:Angiography; D055424:Cardiac-Gated Imaging Techniques; D004562:Electrocardiography; D006325:Heart Atria / Q000000981:diagnostic imaging*; D006801:Humans; D033162:Incidental Findings; D008168:Lung / Q000098:blood supply / Q000000981:diagnostic imaging*; D008279:Magnetic Resonance Imaging; D008297:Male; D008482:Mediastinum / Q000000981:diagnostic imaging*; D011667:Pulmonary Veins / Q000002:abnormalities / Q000000981:diagnostic imaging* / Q000473:pathology; D014648:Varicose Veins / Q000151:congenital / Q000000981:diagnostic imaging* / Q000473:pathology
mediastinal tissue; mediastinum; pulmonary vein varix; varix; venous structure