Skip to main content
Top
Published in: Pediatric Radiology 9/2014

01-09-2014 | Pictorial Essay

Imaging in congenital pulmonary vein anomalies: the role of computed tomography

Authors: Kevin Todd Dyer, Anthony Marcus Hlavacek, Felix Gabriel Meinel, Carlo Nicola De Cecco, Andrew Douglas McQuiston, Uwe Joseph Schoepf, Nicholas Peter Pietris

Published in: Pediatric Radiology | Issue 9/2014

Login to get access

Abstract

Pulmonary venous anomalies comprise a wide spectrum of anatomical variations and their clinical presentations may vary from the relatively benign single partial anomalous pulmonary venous connection (PAPVC) to the critical obstructed total anomalous pulmonary venous connection (TAPVC). We briefly review the common anomalies encountered, while highlighting the utility that computed tomographic angiography (CTA) provides for this spectrum of extracardiac vascular malformations and connections. CTA has established itself as an invaluable imaging modality in these patients. A detailed knowledge of the CTA imaging findings in pulmonary venous anomalies is crucial to guide clinical decision-making in these patients.
Literature
1.
go back to reference Geva T, van Praagh S (2008) Anomalies of the pulmonary veins. In: Allen H, Shaddy R, Driscoll D et al (eds) Moss and Adams’ heart disease in infants, children, and adolescents: including the fetus and young adult, 7th edn. Lippincott Williams & Wilkins, Philadelphia, p 761 Geva T, van Praagh S (2008) Anomalies of the pulmonary veins. In: Allen H, Shaddy R, Driscoll D et al (eds) Moss and Adams’ heart disease in infants, children, and adolescents: including the fetus and young adult, 7th edn. Lippincott Williams & Wilkins, Philadelphia, p 761
2.
go back to reference Rajiah P, Kanne JP (2010) Computed tomography of pulmonary venous variants and anomalies. J Cardiovasc Comput Tomogr 4:155–163PubMedCrossRef Rajiah P, Kanne JP (2010) Computed tomography of pulmonary venous variants and anomalies. J Cardiovasc Comput Tomogr 4:155–163PubMedCrossRef
3.
go back to reference Latson LA, Prieto LR (2007) Congenital and acquired pulmonary vein stenosis. Circulation 115:103–108PubMedCrossRef Latson LA, Prieto LR (2007) Congenital and acquired pulmonary vein stenosis. Circulation 115:103–108PubMedCrossRef
4.
go back to reference Watson TG, Mah E, Joseph Schoepf U et al (2013) Effective radiation dose in computed tomographic angiography of the chest and diagnostic cardiac catheterization in pediatric patients. Pediatr Cardiol 34:518–524PubMedCrossRef Watson TG, Mah E, Joseph Schoepf U et al (2013) Effective radiation dose in computed tomographic angiography of the chest and diagnostic cardiac catheterization in pediatric patients. Pediatr Cardiol 34:518–524PubMedCrossRef
5.
go back to reference Nie P, Wang X, Cheng Z et al (2012) Accuracy, image quality and radiation dose comparison of high-pitch spiral and sequential acquisition on 128-slice dual-source CT angiography in children with congenital heart disease. Eur Radiol 22:2057–2066PubMedCrossRef Nie P, Wang X, Cheng Z et al (2012) Accuracy, image quality and radiation dose comparison of high-pitch spiral and sequential acquisition on 128-slice dual-source CT angiography in children with congenital heart disease. Eur Radiol 22:2057–2066PubMedCrossRef
6.
go back to reference Karamlou T, Gurofsky R, Al Sukhni E et al (2007) Factors associated with mortality and reoperation in 377 children with total anomalous pulmonary venous connection. Circulation 115:1591–1598PubMedCrossRef Karamlou T, Gurofsky R, Al Sukhni E et al (2007) Factors associated with mortality and reoperation in 377 children with total anomalous pulmonary venous connection. Circulation 115:1591–1598PubMedCrossRef
7.
go back to reference Patton WL, Momenah T, Gooding CA et al (1999) The vascular vise causing TAPVR type I to radiographically mimic TAPVR type III. Pediatr Radiol 29:323–326PubMedCrossRef Patton WL, Momenah T, Gooding CA et al (1999) The vascular vise causing TAPVR type I to radiographically mimic TAPVR type III. Pediatr Radiol 29:323–326PubMedCrossRef
8.
go back to reference Dillman JR, Yarram SG, Hernandez RJ (2009) Imaging of pulmonary venous developmental anomalies. AJR Am J Roentgenol 192:1272–1285PubMedCrossRef Dillman JR, Yarram SG, Hernandez RJ (2009) Imaging of pulmonary venous developmental anomalies. AJR Am J Roentgenol 192:1272–1285PubMedCrossRef
9.
go back to reference Seale AN, Uemura H, Webber SA et al (2010) Total anomalous pulmonary venous connection: morphology and outcome from an international population-based study. Circulation 122:2718–2726PubMedCrossRef Seale AN, Uemura H, Webber SA et al (2010) Total anomalous pulmonary venous connection: morphology and outcome from an international population-based study. Circulation 122:2718–2726PubMedCrossRef
10.
go back to reference Cetin I, Ozkan S, Varan B et al (2009) Anomalous pulmonary venous connection to the azygous vein: surgical approach of a case with 3D computed tomography findings. J Card Surg 24:345–347PubMedCrossRef Cetin I, Ozkan S, Varan B et al (2009) Anomalous pulmonary venous connection to the azygous vein: surgical approach of a case with 3D computed tomography findings. J Card Surg 24:345–347PubMedCrossRef
11.
go back to reference Tajik AJ, Gau GT, Ritter DG et al (1972) Echocardiographic pattern of right ventricular diastolic volume overload in children. Circulation 46:36–43PubMedCrossRef Tajik AJ, Gau GT, Ritter DG et al (1972) Echocardiographic pattern of right ventricular diastolic volume overload in children. Circulation 46:36–43PubMedCrossRef
12.
go back to reference Tsitouridis I, Tsinoglou K, Morichovitou A et al (2006) Scimitar syndrome versus meandering pulmonary vein: evaluation with three-dimensional computed tomography. Acta Radiol 47:927–932PubMedCrossRef Tsitouridis I, Tsinoglou K, Morichovitou A et al (2006) Scimitar syndrome versus meandering pulmonary vein: evaluation with three-dimensional computed tomography. Acta Radiol 47:927–932PubMedCrossRef
13.
go back to reference Ciliberti P, Taylor AM, Yates R et al (2013) Occlusion of persistent levoatrial cardinal vein without left heart hypoplasia utilizing an Amplatzer device. Eur Heart J Cardiovasc Imaging 14:857PubMedCrossRef Ciliberti P, Taylor AM, Yates R et al (2013) Occlusion of persistent levoatrial cardinal vein without left heart hypoplasia utilizing an Amplatzer device. Eur Heart J Cardiovasc Imaging 14:857PubMedCrossRef
15.
go back to reference Seale AN, Webber SA, Uemura H et al (2009) Pulmonary vein stenosis: the UK, Ireland and Sweden collaborative study. Heart 95:1944–1949PubMedCrossRef Seale AN, Webber SA, Uemura H et al (2009) Pulmonary vein stenosis: the UK, Ireland and Sweden collaborative study. Heart 95:1944–1949PubMedCrossRef
16.
go back to reference Breinholt JP, Hawkins JA, Minich LA et al (1999) Pulmonary vein stenosis with normal connection: associated cardiac abnormalities and variable outcome. Ann Thorac Surg 68:164–168PubMedCrossRef Breinholt JP, Hawkins JA, Minich LA et al (1999) Pulmonary vein stenosis with normal connection: associated cardiac abnormalities and variable outcome. Ann Thorac Surg 68:164–168PubMedCrossRef
17.
go back to reference Frazier AA, Burke AP (2012) The imaging of pulmonary hypertension. Semin Ultrasound CT MR 33:535–551PubMedCrossRef Frazier AA, Burke AP (2012) The imaging of pulmonary hypertension. Semin Ultrasound CT MR 33:535–551PubMedCrossRef
Metadata
Title
Imaging in congenital pulmonary vein anomalies: the role of computed tomography
Authors
Kevin Todd Dyer
Anthony Marcus Hlavacek
Felix Gabriel Meinel
Carlo Nicola De Cecco
Andrew Douglas McQuiston
Uwe Joseph Schoepf
Nicholas Peter Pietris
Publication date
01-09-2014
Publisher
Springer Berlin Heidelberg
Published in
Pediatric Radiology / Issue 9/2014
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-014-3044-7

Other articles of this Issue 9/2014

Pediatric Radiology 9/2014 Go to the issue