Shiraishi Jun, Tatsumi Tetsuya, Kimata Masaki, Kambayashi Daisuke, Mano Akiko, Yamanaka Satoshi, Kobara Miyuki, Azuma Akihiro, Nakagawa Masao
Second Department of Medicine, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Circ J. 2003 Sep;67(9):796-8. doi: 10.1253/circj.67.796.
Pulmonary vein varix is a rare abnormality, often resembling a pulmonary or mediastinal mass on chest radiographs, and pulmonary angiography has been the mainstay of diagnosis. An unusual case of pulmonary vein varix was clearly defined by echocardiography performed in a 47-year-old woman with chest discomfort who had been found to have an abnormal structure behind the cardiac silhouette on a chest radiograph. The diagnosis of left lower pulmonary vein varix was noninvasively confirmed by transthoracic echocardiography and transesophageal echocardiography.
肺静脉瘤样扩张是一种罕见的异常情况，在胸部X线片上常类似肺部或纵隔肿物，而肺血管造影一直是诊断的主要手段。一名47岁有胸部不适的女性，胸部X线片发现心影后有异常结构，通过超声心动图明确诊断为一例罕见的肺静脉瘤样扩张。经胸超声心动图和经食管超声心动图无创性地证实了左下肺静脉瘤样扩张的诊断。
