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Computed tomographic angiography (CTA) diagnosis of a rare meandering right pulmonary vein (MRPV)

  • Anatomic Variations
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Abstract

Meandering right pulmonary vein (MRPV) is an exceedingly rare congenital pulmonary vascular variant with less than 20 reported cases. MPVR is a tortuous aberrant venous drainage of the right pulmonary upper lobe anastomosing with the right lower pulmonary vein instead of directly joining the left atrium. The variant is benign with an orthotopic venous drainage without any kind of shunting. The differential diagnosis mostly comprises the scimitar syndrome but also primary varix, arteriovenous malformations, and pulmonary sequestration. We report a case of MRPV fortuitously diagnosed in a 70-year-old patient. Multi-detector computed tomographic angiography (CTA) with MPR, MIP, and 3D reconstructions allowed the diagnosis obviating the need for invasive procedures.

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The author did not receive support from any organization for the submitted work.

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BC is sole author and corresponding author of the manuscript. BC: Performed the imaging studies, Collected and managed the data, Wrote the manuscript.

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Correspondence to Bruno Coulier.

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Coulier, B. Computed tomographic angiography (CTA) diagnosis of a rare meandering right pulmonary vein (MRPV). Surg Radiol Anat 43, 1497–1501 (2021). https://doi.org/10.1007/s00276-021-02751-4

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  • DOI: https://doi.org/10.1007/s00276-021-02751-4

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