Incidental meandering right pulmonary vein,literature review and proposed nomenclature revision

• 作者: Gillian Ritchie John Tallach Murchison Mark Alexander Rodrigues
• 来源期刊: 世界放射学杂志：英文版（电子版）
• 学科: 医学
• 关键词: INCIDENTAL FINDINGS Pulmonary veins/abnor-malities Scimitar syndrome/radiography Tomography X-ray computed
• 年，卷（期）: 2013,（5）
• 页码范围: 215-219
• 页数: 5页
• 分类号: R816.2

摘要

We report a case of an anomalous pulmonary vein on chest X-ray resembling a scimitar sign in an 80-year-old female undergoing investigation of syncope.Multislice computed tomography(CT) with multiplanar reformatting and maximum intensity projections demonstrated an aberrant right inferior pulmonary vein coursing inferomedially towards the diaphragm before turning superiorly and draining normally into the left atrium.The diagnosis of an incidental meandering right pulmonary vein was established.The case is used to review the literature on this rare pulmonary anomaly,including pathogenesis,its relationship with scimitar syndrome and scimitar variant,and diagnosis,with an emphasis on the role modern CT techniques can play in noninvasive diagnosis.A revision to the nomenclature of pulmonary vascular anomalies is proposed to help reduce confusion in the literature.