Marache P, Lemaitre L, Smith M, Pagniez B, Baudin P, Coulomb M, Rémy J
J Radiol. 1979 Dec;60(12):749-68.
The authors describe 6 cases of unilateral obstruction to pulmonary venous return: two cases of Halasz syndrome and postoperative obstruction of the reimplanted collector vein, one patient with Halasz syndrome and spontaneous obstruction of the vein in the form of a scimitar, one case of neoplastic invasion of the atrium-vein junction, one with unilateral absence of the right intra- and extraparenchymatous regions of the pulmonary veins, and lastly, a case of juxta-auricular interruption in the right pulmonary veins. The anatomy and physiopathology of the collateral venous pathways are briefly described, together with the relations between systemic arterial hypervascularization and pulmonary venous obstruction. The authors then review the radiological, clinical, and angiohemodynamic features of the unilateral venous obstruction syndrome, and conclude that precise diagnosis of venous occlusion, its location, and its tolerance are essential for deciding the therapeutic measures required.
作者描述了6例肺静脉回流单侧梗阻的病例:2例哈拉斯综合征及再植收集静脉术后梗阻,1例哈拉斯综合征患者静脉呈弯刀状自发梗阻,1例肿瘤侵犯心房 - 静脉交界处,1例肺静脉右叶内和叶外区域单侧缺如,最后1例为右肺静脉近耳中断。简要描述了侧支静脉途径的解剖结构和病理生理学,以及体循环动脉血管增多与肺静脉梗阻之间的关系。作者随后回顾了单侧静脉梗阻综合征的放射学、临床和血管血液动力学特征,并得出结论,准确诊断静脉闭塞、其位置及其耐受性对于确定所需的治疗措施至关重要。