CC BY-NC-ND 4.0 · Journal of Clinical Interventional Radiology ISVIR 2023; 07(03): 215-217
DOI: 10.1055/s-0043-1770145
Case Report

Pulmonary Vein Varix: A Diagnostic Enigma

1   Department of Radiology and Imageology, Nizam's Institute of Medical Sciences, Hyderabad, Telangana, India
,
Rammurti Susarla
1   Department of Radiology and Imageology, Nizam's Institute of Medical Sciences, Hyderabad, Telangana, India
,
Phani Chakravarty Mutnuru
1   Department of Radiology and Imageology, Nizam's Institute of Medical Sciences, Hyderabad, Telangana, India
,
Paramjyothi GK
2   Department of Pulmonology, Nizam's Institute of Medical Sciences, Hyderabad, Telangana, India
,
Sanjeeva Prasad Kalva
3   Division of Interventional Radiology, Department of Radiology, Harvard Medical School, Massachusetts General Hospital, Boston, Massachusetts, United States
› Author Affiliations
Funding None.

Abstract

We report a case of a 34-year-old woman who presented with chest pain, shortness of breath, and dry cough of 1 month duration. Contrast-enhanced computed tomography of the chest revealed an enlarged and tortuous right pulmonary vein that could not conclusively exclude a pulmonary arteriovenous malformation. Further evaluation with digital subtraction angiography excluded an arteriovenous malformation and confirmed the presence of a pulmonary vein varix. Accordingly, the patient was managed conservatively. This report highlights the need for catheter angiography in the diagnosis of pulmonary vein varix and provides a brief review of literature on the entity.



Publication History

Article published online:
27 June 2023

© 2023. Indian Society of Vascular and Interventional Radiology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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