Parsiyel anormal pulmoner venöz dönüş anomalisi çok kesitli bilgisayarlı tomografi anjiyografi bulguları: iki olgunun sunumu [Multislice computed tomography findings of two cases with partial anomalous pulmonary venous return]

Öz

Partial anomalous pulmonary venous return (PAPVR) is a rare congenital disorder that involves drainage of one or more pulmonary vein to the right atrium or systemic circulation. We report Multi Detector Computed Tomography Angiography (MDCTA) findings of two cases of PAPVR with the dranaige of left superior pulmonary vein into left brachicephalic vein. MDCTA is a non-invasive, useful method for detection of this situation. Multiplanar reformatted images enables course of anomalous vein, connection with the systemic circulation, and accompanying pulmonary and cardiac anomalies.

Anahtar Kelimeler

• Partial anomalous pulmonary venous return, Multi detector computed tomography, MDCT

Parsiyel anormal pulmoner venöz dönüş anomalisi çok kesitli bilgisayarlı tomografi anjiyografi bulguları: iki olgunun sunumu

Öz

Parsiyel anormal pulmoner venöz dönüş (PAPVD) nadir bir konjenital anomali olup bir ya da birden çok pulmoner venin sağ atriyuma ya da sistemik dolaşıma katıldığı durumdur. Bu makalede sol süperior pulmoner veni sol brakiosefalik vene açılan iki PAPVD olgusunun çok kesitli bilgisayarlı tomografi anjiyografi (ÇKBTA) bulguları sunuldu. ÇKBTA bu durumu ortaya koymada faydalı, girişimsel olmayan bir incelemedir. Multiplanar reformat görüntüler anormal venin seyrini, sistemik dolaşımla bağlantısını ve eşlik eden pulmoner ve kardiyak anomalileri göstermede yardımcıdır.

Anahtar Kelimeler

• Parsiyel anormal pulmoner venöz dönüş, çok kesitli bilgisayarlı tomografi, ÇKBT

Kaynakça

1. Ho LM, Bhalla S, Bierhals A, Gutierrez F. MDCT of partial anomalous pulmonary venous return (PAPVR) in adults. J Thoracic Imaging 2009;24(2):89-95.
2. Vyas HV, Greenberg SB, Krishnamurthy R. MR imaging and CT evaluation of congenital pulmonary vein abnormalities in neonates anf ınfants. Radiographics 2012;37(1):87-98.
3. Gupta M. Partial Anomalous Pulmonary Venous Connection. Available from: URL:htpp://www.emedicine.com/ped/ topic2522.htm.
4. Miller S, Waltman A. The pulmonary circulation. In: Tavares JM, Ferrucci JT editors. Radiology: Diagnosis-Imaging- Intervention. Philedelphia: JB Lippincott; 1995. p 1-19.
5. Julsrud FE, Fellows KE. Anamolous pulmonary venous con- nection. In: Baum S editor. Abrams Angiography. 4th ed. Boston: Little, Brown and Company; 1997. p 868-90.
6. Pennes DR, Ellis JH. Anomalous pulmonary venous drain- age of the left upper lobe shown by CT scans. Radiology 1986;159(1):23-4.
7. Greene R, Miller SW. Cross-Sectional imaging of silent pul- monary venous anomalies. Radiology 1986;159(1):279-81.
8. Fumaki B. Central venous Access: a primer for the diagnostic radiology. AJR 2002;179(2):309-18.