Lock J E, Lucas R V, Amplatz K, Bessinger F B
Chest. 1978 Feb;73(2):224-7. doi: 10.1378/chest.73.2.224.
An 11-year-old girl was found to have completely obstructed left pulmonary veins eight years following corrective surgery for transposition of the great arteries. The patient was acyanotic and asymptomatic. Retrograde flow of arterial blood from the affected left lung accounted for an angiographic appearance that mimicked occlusion of the left pulmonary artery and resulted from a failure of systemic venous development. Pulmonary venous anatomy could only be demonstrated by pulmonary arterial wedge angiographic studies. This experience emphasizes that complete unilateral pulmonary venous obstruction may occur in an asymptomatic patient and underlines the importance of investigating pulmonary venous anatomy in any patient with gross inequality of the distribution of pulmonary blood flow.
一名11岁女孩在接受大动脉转位矫正手术后8年，被发现左肺静脉完全梗阻。该患者无青紫且无症状。来自患侧左肺的动脉血逆向流动导致血管造影表现类似于左肺动脉闭塞，这是由于体静脉发育失败所致。肺静脉解剖结构只能通过肺动脉楔入血管造影研究来显示。这一病例强调了完全性单侧肺静脉梗阻可能发生在无症状患者中，并突出了在任何肺血流分布明显不均的患者中研究肺静脉解剖结构的重要性。
