Anzai Makoto, Kawamura Mitsuo, Matsunaga Shinichi
Department of Cardiology, Tokatsu General Hospital.
Nihon Kokyuki Gakkai Zasshi. 2011 Aug;49(8):619-22.
We present a case of pulmonary varices in a 44-year-old man. The patient's chest X-ray films revealed well-delineated shadows in the right lower lung field. An enhanced chest CT scan with three-dimensional volumetric imaging demonstrated a vascular malformation in the right lower lobe. Both the arterial and parenchymal phases of digital subtraction of the right pulmonary angiography were normal. However, the venous phase showed serpiginous right lower pulmonary veins draining into the left atrium, and a delayed pooling of contrast in dilated pulmonary veins confirmed a diagnosis of pulmonary varices. No echocardiographic findings of valvular disease were recognized. He remained asymptomatic and returned to work, but radiological follow-up was continued annually.
我们报告一例44岁男性的肺静脉曲张病例。患者的胸部X光片显示右下肺野有边界清晰的阴影。增强胸部CT扫描及三维容积成像显示右下叶有血管畸形。右肺血管造影数字减影的动脉期和实质期均正常。然而，静脉期显示右下肺静脉呈蜿蜒状引流至左心房，扩张肺静脉内造影剂延迟聚集证实为肺静脉曲张。未发现心脏超声检查有瓣膜病的表现。他一直无症状并重返工作岗位，但每年继续进行影像学随访。
