Uyama T, Monden Y, Harada K, Tamaki H, Miura K, Taniki T, Kimura S, Hashioka K, Nobuhara K
Second Department of Surgery, School of Medicine, University of Tokushima, Japan.
Jpn J Surg. 1988 May;18(3):359-62. doi: 10.1007/BF02471456.
A case of a 47-year-old woman with pulmonary varix is reported herein. Saccular dilatation of the inferior pulmonary vein resembled a pulmonary perihilar mass which could not be palpated at the time of thoracotomy. Aneurysmal dilatation of the pulmonary vein, otherwise known as pulmonary varix, is rare. Only 71 such cases, including 17 cases in Japan, have been reported. Pulmonary varices may be classified into three types, namely: saccular type, tortuous type and confluent type. Most of the varices seen in patients with valvular disease have been of the confluent type (62 per cent), however tortuous type varices have also been seen in some cases (19 per cent). Pulmonary venous hypertension may be one of the major causes of confluent type pulmonary varices as regression of pulmonary varices after mitral valve replacement has been reported. None of the saccular type cases, however, were accompanied by valvular disease. This indicates that local factors may also be an important cause of saccular type varices.
本文报告了一例47岁患有肺静脉曲张的女性病例。肺下静脉的囊状扩张类似于肺门周围肿块，在开胸手术时无法触及。肺静脉的动脉瘤样扩张，即所谓的肺静脉曲张，较为罕见。包括日本的17例在内，仅报告了71例此类病例。肺静脉曲张可分为三种类型，即：囊状型、迂曲型和融合型。在瓣膜病患者中所见的大多数静脉曲张为融合型（62%），不过在某些病例中也可见到迂曲型静脉曲张（19%）。肺静脉高压可能是融合型肺静脉曲张的主要原因之一，因为有报告称二尖瓣置换术后肺静脉曲张会消退。然而，囊状型病例均未伴有瓣膜病。这表明局部因素也可能是囊状型静脉曲张的重要原因。
