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Case Reports
A complex pulmonary vein varix -- diagnosis with ECG gated MDCT, MRI and invasive pulmonary angiography.
- Zuzana Berecova, Vladimír Neuschl, Peter Boruta, Jozef Masura, and Eduard Ghersin.
- Department of Radiology, Slovak Medical University, Bratislava, Slovakia. hapka78@hotmail.com
- J Radiol Case Rep. 2012 Dec 1;6(12):9-16.
AbstractA case of an asymptomatic 32-year-old male with a complex congenital pulmonary vein varix is reported herein. Chest X-ray incidentally revealed a tubular opacity passing from the periphery of the left lingula to the mediastinum. ECG gated multidetector computed tomography showed the opacity to be a vessel emptying into the left atrium via the left superior pulmonary vein. In addition, a second vascular structure was noted within the posterior mediastinum that was emptying into the same pulmonary vein. These findings were also confirmed by magnetic resonance imaging, 4D magnetic resonance angiography and invasive arterial angiography. Based on multimodality imaging findings the diagnosis of complex congenital pulmonary venous varix with posterior mediastinal extension was established.
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