Abstract
A case is reported in which the abnormal course of a pulmonary vein was suggested by computed tomography and confirmed by digital subtraction angiography. The vein drained blood from the right middle lobe into the apical pulmonary vein. This abnormality was probably due to abnormal segmentation of the right lung. Comparable cases have been reported in the literature. It is important to distinguish these benign lesions from more complex malformations because of the therapeutic and prognostic implications. The radiologic findings of this case and a systematic overview of pulmonary vein abnormalities is provided.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Benfield JR, Gots RE, Mills D (1971) Anomalous single left pulmonary vein mimicking a parenchymal nodule. Chest 59:101–103
Collins DR, Shea PM, Vieweg WVR (1982) Idiopathic prominence of pulmonary veins on chest x-ray. Angiology 33:613–616
Hasuo K, Numaguchi Y, Kishikawa T, Ikeda J, Matsuura K (1981) Anomalous unilateral single pulmonary vein mimicking pulmonary varices. Chest 79:602–604
Rey C, Vaksmann G, Francart C (1986) Anomalous unilateral single pulmonary vein mimicking partial anomalous pulmonary return. Cathet Cardiovasc Diagn 12:330–333
Tretheway DG, Francis GS, McNeill DJ, Vieweg WV (1974) Single left pulmonary vein with normal pulmonary drainage: A roentgenographic curiosity. Am J Cardiol 34:237–239
Healey JE (1952) An anatomic survey of anomalous pulmonary veins: Their clinical significance. J Thoracic Surg 23:433–443
Weber J, May R (1990) Funktionelle Phlebologie. Springer, Stuttgart. pp 286–290
Schatz SL, Ryvicker MJ, Deutsch AM, Cohen HR (1986) Partial anomalous pulmonary drainage of the right lower lobe shown by CT scans. Radiology 159:21–22
Dupuis C, Charaf LAC, Brevière G-M, Abou P, Rémy-Jardin M, Helmius G (1992) The “adult” form of the scimitar syndrome. Am J Cardiol 70:502–507
Huebsch P, Neuhold A, Mayr H, Glogar D (1989) Anomalous pulmonary venous drainage shown by duplex sonography, computed tomography, and plain radiography. Thorax 44:63–65
Brown A (1913) The development of the pulmonary vein in the domestic cat. Anat Rec 7:299 (cited by Healey JE (1952) J Thoracic Surg 23:433–443
Zuckerkandl E (1881) Über die Anastomosen der Venae pulmonales mit den Bronchialvenen und dem mediastinalen Venennetze. S.-B. Akad Wiss Wien 134:110 (cited by Weber J, May R (1990) Funktionelle Phlebologie. Springer, Stuttgart, pp 286–290)
Becu LM, Tauxe WN, Du Shane JW, Edwards JE (1955) Anomalous connection of pulmonary veins with normal pulmonary venous drainage: Report of case associated with pulmonary venous stenosis and cor triatriatum. Arch Pathol 59:463–470
Everhart FJ, Korns ME, Amplatz K, Edwards JE (1967) Intrapulmonary segment in anomalous pulmonary venous connection. Resemblance to scimitar syndrome. Circulation 35:1163–1169
Snellen HA, van Ingen HC, Hoefsmit ECM (1968) Patterns of anomalous pulmonary venous drainage. Circulation 38:45–63
Godwin JD, Webb WR (1981) Dynamic computed tomography in the evaluation of vascular lung lesions. Radiology 138:629–635
Olson MA, Becker GJ (1986) The scimitar syndome: CT findings in partial anomalous pulmonary venous return. Radiology 159:25–26
Masui T, Seelos KC, Kersting-Sommerhoff BA, Higgins CB (1991) Abnormalities of the pulmonary veins: Evaluation with MR imaging and comparison with cardiac angiography and echocardiography. Radiology 181:645–649
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Alfke, H., Wagner, HJ. & Klose, KJ. A case of an anomalous pulmonary vein of the right middle lobe. Cardiovasc Intervent Radiol 18, 406–409 (1995). https://doi.org/10.1007/BF00338311
Issue Date:
DOI: https://doi.org/10.1007/BF00338311