Published in:
Open Access
01-01-2022 | CT Angiography | Anatomic Variations
Midline crossing pulmonary vein: right upper lobe dual venous drainage, with partial anomalous venous return of the right lung into a persistent left superior vena cava
Authors:
J. van Schuppen, A. E. van der Hulst, I. M. Kuipers, B. Straver, S. M. Boekholdt, R. N. Planken, R. J. Oostra
Published in:
Surgical and Radiologic Anatomy
|
Issue 1/2022
Login to get access
Abstract
Introduction
We present a case of dual drainage of the right upper lobe of the lung into the left atrium and via partial anomalous venous pulmonary return (PAPVR) into a persistent left superior vena cava (SVC).
Discussion
It is only in the minority of PAPVR cases where the anomalous pulmonary veins cross the midline. We provide a review of current literature on this topic and an explanatory embryological model. Knowledge of embryonic development and possible anatomic variations, including the concept of dual venous drainage of the lung, leads to better interpretation of imaging, with more accurate description of the morphology at hand. High-resolution multidetector computed tomography (MDCT) helps to delineate the exact vascular anatomy. This will enhance a better understanding of and anticipation on the patient’s disease status, with more accurate planning of intervention, and possibly less complications.