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Partial Anomalous Venous Return

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Integrated Cardiothoracic Imaging with MDCT

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

Abstract

Anomalous pulmonary venous returns (APVRs) are congenital malformations in which a portion or the entirety of the pulmonary veins drains into the right atrium or one of its tributaries, resulting in left-to-right (L-to-R) shunt. Partial APVR (PAPVR) is found in 0.4–0.7% of routine necropsy and in 10–15% of patients with atrial septal defect. PAPVRs occur on the right side twice as often as on the left. PAPVRs can be classified in four groups based on their drainage: into supracardiac veins (SVC, azygos vein, vertical vein, left SVC, etc.), into right atrium or coronary sinus, into infradiaphragmatic veins (IVC, portal vein, etc.), and as mixed patterns. PAPVRs may be completely asymptomatic and incidentally discovered, but some will present with large L-to-R shunt requiring surgery. MDCT is currently considered as a first-line technique in the work-up of PAPVRs, as it evidences the anomalous vein and its drainage and shows associated tracheobronchial, lung or vascular abnormalities.

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Authors and Affiliations

  1. Department of Medical Imaging, University Hospital of Liege, 4000, Liege 1, Belgium

    Benoît Ghaye MD & Thierry Couvreur MD

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  1. Benoît Ghaye MD
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  2. Thierry Couvreur MD
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  1. Department of Radiology C.H.R.U. de Lille, Höpital Calmette, Boulevard du Prof. J. Leclercq, 59037, Lille Cédex, France

    Martine Rémy-Jardin MD, PhD (Professor) & Jacques Rémy MD (Professor) (Professor) &  (Professor)

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Ghaye, B., Couvreur, T. (2009). Partial Anomalous Venous Return. In: Rémy-Jardin, M., Rémy, J. (eds) Integrated Cardiothoracic Imaging with MDCT. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-72387-5_21

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  • DOI: https://doi.org/10.1007/978-3-540-72387-5_21

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