title: Management of asymptomatic pulmonary vein aneurysm.
abstract: Aneurysm of a pulmonary vein is a rare vascular anomaly that is usually discovered incidentally as a pulmonary nodule or mediastinal mass. Most patients do not have any symptoms but some patients can present with dyspnea, hemoptysis, or cerebral thromboembolism. Proper diagnosis is crucial as to avoid unnecessary testing or surgical procedures. We highlight a case of an asymptomatic 59-year-old female with a pulmonary vein aneurysm presenting as a 1.5 cm right infrahilar nodule on contrast-enhanced CT during evaluation for acute cholecystitis. Further investigation with MRA revealed that it was vascular in nature, and pulmonary angiography showed dilation of the right inferior pulmonary vein with no communication to the pulmonary artery. On serial imaging, there has been no change in the size of the aneurysm. A small non-enlarging pulmonary vein aneurysm should be managed expectantly.
authors.affiliation: Division of Thoracic Surgery, Department of Surgery, Houston Methodist Hospital, Houston, TX, United States.
authors.forename: Jason
authors.initials: J
authors.lastname: Coffman
authors.affiliation: Division of Thoracic Surgery, Department of Surgery, Houston Methodist Hospital, Houston, TX, United States.
authors.forename: Kristi
authors.initials: K
authors.lastname: Pence
authors.affiliation: Division of Thoracic Surgery, Department of Surgery, Houston Methodist Hospital, Houston, TX, United States; Weill Cornell Medicine, Houston Methodist Hospital, Houston, TX, United States.
authors.forename: Puja G
authors.initials: PG
authors.lastname: Khaitan
authors.affiliation: Division of Thoracic Surgery, Department of Surgery, Houston Methodist Hospital, Houston, TX, United States.
authors.forename: Edward Y
authors.initials: EY
authors.lastname: Chan
authors.affiliation: Division of Thoracic Surgery, Department of Surgery, Houston Methodist Hospital, Houston, TX, United States; Weill Cornell Medicine, Houston Methodist Hospital, Houston, TX, United States.
authors.forename: Min P
authors.initials: MP
authors.lastname: Kim
keywords: Pulmonary angiography; Pulmonary vein varix; Pulmonary venous aneurysm