Role Of Multi-detector Computed Tomographic Angiography In Delineation Of Pulmonary Venous Variants And Anomalies.
shehata, S., Abdulmonaem, G., Hassan, A., Assy, M. (2022). Role Of Multi-detector Computed Tomographic Angiography In Delineation Of Pulmonary Venous Variants And Anomalies.. EKB Journal Management System, 28(4), 815-822. doi: 10.21608/zumj.2021.80989.2265
Samar mohamad shehata; ghada Elsayed Abdulmonaem; Aya Gamal Hassan; Mostafa Mohamad Assy. "Role Of Multi-detector Computed Tomographic Angiography In Delineation Of Pulmonary Venous Variants And Anomalies.". EKB Journal Management System, 28, 4, 2022, 815-822. doi: 10.21608/zumj.2021.80989.2265
shehata, S., Abdulmonaem, G., Hassan, A., Assy, M. (2022). 'Role Of Multi-detector Computed Tomographic Angiography In Delineation Of Pulmonary Venous Variants And Anomalies.', EKB Journal Management System, 28(4), pp. 815-822. doi: 10.21608/zumj.2021.80989.2265
shehata, S., Abdulmonaem, G., Hassan, A., Assy, M. Role Of Multi-detector Computed Tomographic Angiography In Delineation Of Pulmonary Venous Variants And Anomalies.. EKB Journal Management System, 2022; 28(4): 815-822. doi: 10.21608/zumj.2021.80989.2265

Role Of Multi-detector Computed Tomographic Angiography In Delineation Of Pulmonary Venous Variants And Anomalies.

Zagazig University Medical Journal
Article 25, Volume 28, Issue 4, July 2022, Page 815-822  XML PDF (589.97 K)
Document Type: Original Article
DOI: 10.21608/zumj.2021.80989.2265
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Authors
Samar mohamad shehata1; ghada Elsayed Abdulmonaem2; Aya Gamal Hassan email 3; Mostafa Mohamad Assyorcid 4
1Zagazig university
2zagazig university
3radio-diagnosis department, faculty of medicine, zagazig university, Zagazig, Egypt
4Department od Radiodiagnosis, Zagazig University, Zagazig, Egypt
Abstract
Abstract
Background:
Diagnostic imaging is crucial in the evaluation of thoracic congenital anomalies. Although clinical assessment may provide insight into the possible diagnosis, imaging is usually necessary to confirm the diagnosis, treatment planning and postoperative evaluation.
Aim:
To assess the role of multidetector computed tomography (MDCT) in evaluating and calculating prevalence of pulmonary venous abnormalities, and be familiar with the imaging characteristics of these abnormalities.
Patients and methods:
Ninety patients were enrolled in this retrospective study (33.3% males and 66.7% females) their age ranged from 10 days to 60 years (mean age: 28.7±19.6 years), who underwent MDCT angiography using 128-slice MDCT scanner (ingenuity Philips health care, best, Netherlands) and have been diagnosed of pulmonary venous variants or anomalies.
Results:
Pulmonary venous anomalies were detected in 12.2 % of the studied group while the pulmonary variants were 20%. The most common pulmonary venous congenital anomalies were partial anomalous pulmonary venous return (PAPVR) (45.5%) then pulmonary venous varix (27.3 %), followed by total anomalous pulmonary venous return (TAPVR) representing (18.2%) then the meandering pulmonary vein representing (9%) of detected anomalies. While the most common pulmonary venous variant is conjoined pulmonary vein representing 10 % followed by supernumerary right pulmonary vein representing 5.6 % then pulmonary vein open with common ostium representing 4.4% of the studied group.

Conclusion:
(MDCT) is considered the modality of choice for accurate delineation of pulmonary venous normal and variant anatomy as well as anomalies and aids planning of interventional procedures especially radiofrequency ablation of arrhythmiogenic foci.
Keywords
Keywords: MDCT; Total anomalous pulmonary venous return; Partial anomalous pulmonary venous return; Pulmonary venous anomalies
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