Skip to main content

An anatomical study of the partial anomalous pulmonary venous return with special references to the bronchial vein

Abstract

Two examples of partial anomalous drainage of the pulmonary vein were detected at dissection. The first case was found in a 70-year-old female Japanese. An aberrant vein, approximately 6 mm in diameter, that derived from the upper lobe of the right lung was observed to drain into the superior vena cava at a point just below the entrance of the azygos vein. The other veins from the right lung gathered into two pulmonary veins and returned into the left atrium as usual. In the second case, which was found in an 80-year-old female Japanese, a connecting vein, approximately 8 mm in diameter, was found between the left superior pulmonary vein and the left brachiocephalic vein. In this case, although the direction of the blood flow within the connecting vein was not certain, it is probable that the blood passed from the pulmonary vein into the brachiocephalic vein, judging from the increase in the width of the latter vein. No other anomalies were found in the cardiovascular systems. At the occurrence of the anomalous drainage of the pulmonary veins in both cases, we suspected the role of the bronchial vein to be a communicating and boundary vein between the pulmonary and systemic circulations. The developmental background of these anomalies is also considered.

This is a preview of subscription content, access via your institution.

References

  • Adachi B (1933) Das Venensystem derJapaner. Erste Lieferung-Verlag der Kaiserlich-Japanischen Universität zu Kyoto (University of Kyoto), Kyoto.

  • Brody H (1942) Drainage of the pulmonary veins into the right side of the heart. Arch Pathol 33, 221–40.

    Google Scholar 

  • Brown AJ (1913) The development of the pulmonary vein in the domestic cat. Anat Rec 7, 299–329.

    Article  Google Scholar 

  • Chiba S, Suzuki T, Takahashi D, Kasai T (1990) An autopsy case of azygos lobe and the extra-pulmonary course of the bronchial veins in man. Okajimas Folia Anat Jpn 66, 313–38.

    PubMed  CAS  Google Scholar 

  • Compere DH, Forsyth HF (1944) Anomalous pulmonary veins: Report of a case. J Thorac Surg 13, 63–6.

    Google Scholar 

  • Conn LC, Calder J, MacGregor JW, Shaner RF (1942) Report of a case in which all pulmonary veins from both lungs drain into the superior vena cava. Anat Rec 83, 335–40.

    Article  Google Scholar 

  • Geddes AC (1912) Abnormal superior vena cava. Anat Anz 41, 449–53.

    Google Scholar 

  • Hall SM, Hislop AA, Haworth SG (2002) Origin, differentiation, and maturation of human pulmonary veins. Am J Respir Cell Mol Biol 26, 333–40.

    PubMed  CAS  Google Scholar 

  • Hislop AA (2002) Airway and blood vessel interaction during lung development. J Anat 201, 325–34.

    PubMed  Article  Google Scholar 

  • Johnston TB (1915) Opening of the upper left pulmonary vein into a persistent left superior vena cava. J Anat 49, 182–6.

    CAS  Google Scholar 

  • Kasai T (1989) Anatomical findings of the bronchial arteries. J Jpn Soc Bronchol 11, 530–40 (in Japanese with an English abstract).

    Google Scholar 

  • Marchand P, Gilroy JC, Wilson VH (1950) An anatomical study of the bronchial vascular system and its variations in disease. Thorax 5, 207–21.

    PubMed  CAS  Article  Google Scholar 

  • Meckel JF (1820) Handbuch der menschlichen Anatomie. Bd 4. Buchhandlungen des Hallischen Waisenhauses, Halle.

  • Miki S (1979) Morphology of life (6). Comp Nurs Q 14, 91–139. (In Japanese).

    Google Scholar 

  • Millino C, Sarinella F, Tiveron C, Villa A, Sartore S, Ausoni S (2000) Cardiac and smooth cell contribution to the formation of the murine pulmonary veins. Dev Dyn 218, 414–25.

    PubMed  Article  CAS  Google Scholar 

  • Patten BM (1968) Anomalous pulmonary veins. In: Human Embryology, 3rd edn. McGraw-Hill, New York, 557–61.

    Google Scholar 

  • Rowe RD (1978) Anomalies of venous return. In: Heart Disease in Infancy and Childhood, 3rd edn. (Keith JD, ed.). Macmillan, New York, 558–77.

    Google Scholar 

  • Sato S, Kitamura S, Onishi K et al. (1981) Surgical management for partial anomalous pulmonary venous drainage. Heart 13, 1521–8 (in Japanese).

    Google Scholar 

  • Shaner RF (1961) The development of the bronchial veins, with special reference to anomalies of the pulmonary veins. Anat Rec 140, 159–65.

    PubMed  Article  CAS  Google Scholar 

  • Snellen HA, van Ingen HC, Hoefsmit E, Ch M (1968) Patterns of anomalous pulmonary venous drainage. Circulation 38, 45–63.

    PubMed  CAS  Google Scholar 

  • Yamashita M (1954) Studies on the bronchial artery and vein especially on relationship between bronchial and pulmonary vessels. Lung 1, 458–90 (in Japanese).

    Google Scholar 

  • Zuckerkandl E (1881) Über die Anastomosen der Venae pulmonales mit den Bronchialvenen und mit dem mediastinalen Venennetze. Sitzungsberichte Kaiserlichen Akad WissAbt III 84, 110–52.

    Google Scholar 

Download references

Author information

Affiliations

Authors

Corresponding author

Correspondence to Keishi Okamoto.

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Okamoto, K., Kodama, K., Kawai, K. et al. An anatomical study of the partial anomalous pulmonary venous return with special references to the bronchial vein. Anato Sci Int 79, 82 (2004). https://doi.org/10.1111/j.1447-073x.2004.00071.x

Download citation

  • Received:

  • Accepted:

  • DOI: https://doi.org/10.1111/j.1447-073x.2004.00071.x

Keywords

  • anomalous venous drainage
  • brachiocephalic vein
  • bronchial vein
  • pulmonary vein
  • superior vena cava