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左心房静脉合并肺静脉瘤样扩张酷似动静脉畸形:一例报告

Levoatriocardinal Vein Combined with Pulmonary Venous Varix Mimicking Arteriovenous Malformations: A Case Report.

作者信息

Jeun Joo Hee, Kang Eun-Ju, Jo Jeong-Hyun, Lee Ki-Nam

出版信息

Taehan Yongsang Uihakhoe Chi. 2021 Mar;82(2):440-446. doi: 10.3348/jksr.2020.0036. Epub 2021 Jan 20.

DOI:10.3348/jksr.2020.0036
PMID:36238741
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9431933/
Abstract

The levoatriocardinal vein is an uncommon pulmonary venous abnormality that connects the left atrium or pulmonary vein with the systemic vein. It is distinct from partial anomalous pulmonary venous return in that the former forms a connection with the left atrium through the normal pulmonary vein whereas the latter involves pulmonary venous drainage to the systemic vein. Herein, we describe a case of the levoatriocardinal vein initially misdiagnosed as a pulmonary arteriovenous malformation using chest radiography and chest CT. The levoatriocardinal vein combined with pulmonary venous varix was confirmed using pulmonary angiography. To the best of our knowledge, this unusual coexistence of the levoatriocardinal vein and pulmonary venous varix has not been reported in English literature.

摘要

左心房静脉是一种罕见的肺静脉异常,它将左心房或肺静脉与体静脉相连。它与部分性肺静脉异位回流不同,前者通过正常肺静脉与左心房形成连接,而后者是肺静脉引流至体静脉。在此,我们描述一例最初通过胸部X线和胸部CT被误诊为肺动静脉畸形的左心房静脉病例。通过肺血管造影证实为左心房静脉合并肺静脉瘤样扩张。据我们所知,英文文献中尚未报道过左心房静脉与肺静脉瘤样扩张这种不寻常的共存情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2db/9431933/b38b83305f59/jksr-82-440-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2db/9431933/b38b83305f59/jksr-82-440-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2db/9431933/b38b83305f59/jksr-82-440-g001.jpg

相似文献

1
Levoatriocardinal Vein Combined with Pulmonary Venous Varix Mimicking Arteriovenous Malformations: A Case Report.左心房静脉合并肺静脉瘤样扩张酷似动静脉畸形:一例报告
Taehan Yongsang Uihakhoe Chi. 2021 Mar;82(2):440-446. doi: 10.3348/jksr.2020.0036. Epub 2021 Jan 20.
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本文引用的文献

1
Pulmonary Venous Varix Presenting as a Pulmonary Nodule.表现为肺结节的肺静脉瘤样扩张
Ann Thorac Surg. 2017 May;103(5):e459. doi: 10.1016/j.athoracsur.2016.11.069.
2
Levoatriocardinal Vein and Mimics: Spectrum of Imaging Findings.左旋心静脉及其类似物:影像学表现谱。
AJR Am J Roentgenol. 2015 Aug;205(2):W162-71. doi: 10.2214/AJR.15.14365.
3
Learning from the pulmonary veins.从肺静脉中学习。
Radiographics. 2013 Jul-Aug;33(4):999-1022. doi: 10.1148/rg.334125043.
4
Imaging of pulmonary venous developmental anomalies.肺静脉发育异常的影像学表现
AJR Am J Roentgenol. 2009 May;192(5):1272-85. doi: 10.2214/AJR.08.1526.
5
Pulmonary varix mimicking arteriovenous malformation.酷似动静脉畸形的肺静脉曲张。
Clin Imaging. 2008 Jan-Feb;32(1):61-4. doi: 10.1016/j.clinimag.2007.05.004.
6
Pulmonary varix mimicking pulmonary arteriovenous malformation in a patient with Turner syndrome.特纳综合征患者中酷似肺动静脉畸形的肺静脉曲张。
Respiration. 2007;74(1):110-3. doi: 10.1159/000087181. Epub 2005 Jul 21.
7
Anomalous unilateral single pulmonary vein: two cases mimicking arteriovenous malformations and a review of the literature.异常单侧单支肺静脉:两例酷似动静脉畸形的病例及文献复习
Australas Radiol. 2005 Jun;49(3):246-51. doi: 10.1111/j.1440-1673.2005.01423.x.