A Complex Pulmonary Vein Varix - Diagnosis with ECG gated MDCT, MRI and Invasive Pulmonary Angiography

Authors

  • Zuzana Berecova
  • Vladimir Neuschl
  • Peter Boruta
  • Jozef Masura
  • Eduard Ghersin

DOI:

https://doi.org/10.3941/jrcr.v6i12.1017

Keywords:

pulmonary vein varix, varix, mediastinum, venous structure, mediastinal tissue

Abstract

A 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.

Author Biographies

Zuzana Berecova

Department of Radiology

Vladimir Neuschl

Department of Radiology

Peter Boruta

Department of Radiology

Head of Department

Jozef Masura

Clinic of Pediatric Cardiology

Chief of the Clinic

Eduard Ghersin

Department of Radiology

Published

2012-12-26

Issue

Section

Thoracic Radiology