Shaw T R, Fananapazir L, McCormack R J, Kitchin A H
J Thorac Cardiovasc Surg. 1980 Jan;79(1):117-20.
A 30-year-old woman with severe mitral insufficiency had large, rounded opacities at the right hilus as seen on her chest x-ray film. These were shown to be varicosities of the right pulmonary veins by pulmonary angiography and by direct injection of contrast medium from a Brockenbrough catheter, which entered the varices from the left atrium. A year after mitral valve replacement there was complete regression of the venous dilatations. When a pulmonary varix is detected there is associated heart disease in 40% of cases. Mitral valve disease (usually mitral insufficiency) is the cardiac abnormality in 27%. This would indicate that pulmonary varix is a complication of mitral insufficiency. Four patients who have undergone valve replacement for mitral reflux have shown regression of the caricosities, suggesting that relief of mitral insufficiency will reduce or eliminate the risk of varix rupture.
一名患有严重二尖瓣关闭不全的30岁女性，胸部X光片显示右肺门有大的圆形阴影。经肺血管造影以及通过从Brockenbrough导管直接注入造影剂（该导管从左心房进入静脉曲张）显示，这些阴影为右肺静脉静脉曲张。二尖瓣置换术后一年，静脉扩张完全消退。当检测到肺静脉曲张时，40%的病例伴有心脏病。二尖瓣疾病（通常为二尖瓣关闭不全）在27%的病例中是心脏异常情况。这表明肺静脉曲张是二尖瓣关闭不全的一种并发症。四名因二尖瓣反流接受瓣膜置换的患者，其静脉曲张已消退，这表明缓解二尖瓣关闭不全将降低或消除静脉曲张破裂的风险。
