The University of Jordan, Amman, Jordan.
Jordan University Hospital, Amman, Jordan.
Methodist Debakey Cardiovasc J. 2024 Aug 27;20(1):74-76. doi: 10.14797/mdcvj.1439. eCollection 2024.
The pulmonary veins normally drain into the left atrium, with the superior pulmonary veins typically situated anterior and inferior to the right pulmonary arteries. However, anomalies can happen. We encountered an exceedingly rare pulmonary vascular anomaly for a patient presenting with atypical chest pain, where the right superior pulmonary vein aberrantly ran posterior to the right pulmonary artery (RPA) and became compressed between the RPA and the right main bronchus. Coronary computed tomography angiography identified this specific pulmonary vein anomaly but revealed unremarkable coronary arteries.
肺静脉通常流入左心房，其中上肺静脉通常位于右肺动脉的前下方。然而，也会出现异常。我们遇到了一例非常罕见的肺血管畸形病例，该患者表现为非典型胸痛，右肺上静脉异常走行于右肺动脉（RPA）后方，并被 RPA 和右主支气管之间压迫。冠状动脉计算机断层血管造影术（CCTA）识别出这种特殊的肺静脉异常，但显示冠状动脉无明显异常。
