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American Journal of Roentgenology, Vol 100, 322-327, Copyright © 1967 by American Roentgen Ray Society

ATRESIA OF THE COMMON PULMONARY VEIN

CASE REPORT AND DIFFERENTIAL DIAGNOSIS

MYRON A. LEVINE M.D.1, JAMES H. MOLLER M.D.1, KURT AMPLATZ M.D.1, and JESSE E. EDWARDS M.D.1

1 From the Departments of Pediatrics, Radiology and Pathology, University of Minnesota, Minneapolis, Minnesota, and the Department of Pathology, The Charles T. Miller Hospital, St. Paul, Minnesota

A case of the condition known as atresia of the common pulmonary vein is presented, in which the correct preoperative diagnosis was made.

The case emphasizes the diagnostic features of this condition. These include several phenomena. The first is evidence of severe pulmonary venous obstruction. The second is electrocardiographic signs of isolated right ventricular hypertrophy. Physiologic features of total anomalous pulmonary venous connection with severe pulmonary venous obstruction are characteristic. The angiocardiogram is consistent with the findings in the usual examples of total anomalous pulmonary venous connection but with one important difference.

In a case fulfilling the criteria given, inability to identify an anomalous pulmonary venous channel should be considered highly suggestive of atresia of the common pulmonary vein.

A potential for surgical care exists in anastomosing the blind pulmonary venous pouch to the left atrium.


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Copyright © 1967 by the American Roentgen Ray Society.