Abnormalities of the pulmonary veins: evaluation with MR imaging and comparison with cardiac angiography and echocardiography

Takayuki Masui, Klaus C. Seelos, Barbara A. Kersting-Sommerhoff, Charles B. Higgins

University of California, San Francisco.
United States

Radiology
Radiology 1991; 181: 645-649
DOI: 10.1148/radiology.181.3.1947075

Abstract
Seventy-seven patients underwent T1-weighted spin-echo magnetic resonance (MR) imaging. Group 1 (n = 56) consisted of patients with various types of congenital heart disease but normal pulmonary veins. Group 2 (n = 22) consisted of patients with the following conditions: partial anomalous pulmonary venous connection (n = 11), total anomalous pulmonary venous connection (n = 5), cor triatriatum (n = 4), or pulmonary vein stenosis (n = 2). In group 1, the sites of connections of all four pulmonary veins were identified with MR imaging in 88% of cases; the connections of at least three pulmonary veins were seen in all patients. In group 2, the prospective detection rate of pulmonary venous abnormalities with MR imaging was 95%. The prospective detection rates of pulmonary venous abnormalities with cardiac angiography (n = 13) and echo-cardiography (n = 13) were 69% and 38%, respectively. This study indicates that MR imaging can accurately demonstrate the normal pulmonary veins and abnormalities of the pulmonary veins.

Category
Stenosis or Obstruction of Normal Pulmonary Venous Connections
Diagnostic Testing. Noninvasive
Diagnostic Testing. Invasive

Year of Publication: 1991

Age Focus: Pediatric or Adult

Article Type: Case Reports or Retrospective Observations in Small Groups of Patients (≤10 patients)

Article Access: Free PDF File or Full Text Article Available Through PubMed or DOI: No