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AJR Teaching File: Dyspnea Following Surgical Repair of Partial Anomalous Venous Return

¹ Department of Radiology, Mayo Clinic Scottsdale, 13400 E Shea Blvd., Scottsdale, AZ 85259.

View larger version (156K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 1A —32-year-old woman with major cardiovascular surgery and onset of dyspnea. Posteroanterior chest radiograph shows ill-defined right upper lobe (RUL) and right middle lobe (RML) infiltrates (arrowheads).

View larger version (20K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 1B —32-year-old woman with major cardiovascular surgery and onset of dyspnea. Lung ventilation scintigraphic image shows decreased radiotracer distribution in RUL and RML.

View larger version (15K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 1C —32-year-old woman with major cardiovascular surgery and onset of dyspnea. Lung perfusion scintigraphic image shows absent tracer activity in RUL and RML.

View larger version (115K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 1D —32-year-old woman with major cardiovascular surgery and onset of dyspnea. Coronal maximum-intensity-projection MR angiographic image shows entire course of RUL–RML pulmonary vein graft (long arrows) joining left atrium (LA). There is segmental stenosis the venous graft (short arrows) proximal to its connection with left atrium (LA). Anatomic landmarks: AA: aortic arch; SVC: superior vena cava; IVC: inferior vena cava; RPA: right pulmonary artery; LPV: left pulmonary vein.

View larger version (84K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 1E —32-year-old woman with major cardiovascular surgery and onset of dyspnea. Sagittal CT reconstruction image of right lung shows congestion of RUL and RML from postcapillary obstruction (arrows).

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