The Pulmonary Venous Return from Normal to Pathological-Clinical Correlations and Review of Literature.

Autor: Tarniceriu CC; Department of Morpho-Functional Sciences I, Discipline of Anatomy, 'Grigore T. Popa' University of Medicine and Pharmacy, Universității str 16, 700115 Iasi, Romania.; Hematology Clinic, 'Sf. Spiridon' County Clinical Emergency Hospital, 700111 Iasi, Romania., Hurjui LL; Department of Morpho-Functional Sciences II, Discipline of Physiology, 'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iasi, Romania.; Central Clinical Laboratory-Hematology Department, 'Sf. Spiridon' County Clinical Emergency Hospital, 700111 Iasi, Romania., Tanase DM; Department of Internal Medicine, 'Grigore T. Popa' University of Medicine and Pharmacy, 700111 Iasi, Romania.; Internal Medicine Clinic, 'St. Spiridon' County Clinical Emergency Hospital, 700115 Iasi, Romania., Nedelcu AH; Department of Morpho-Functional Sciences I, Discipline of Anatomy, 'Grigore T. Popa' University of Medicine and Pharmacy, Universității str 16, 700115 Iasi, Romania., Gradinaru I; Department of Implantology Removable Dentures Technology, 'Grigore T. Popa' University of Medicine and Pharmacy, Universității str 16, 700115 Iasi, Romania., Ursaru M; Department of Surgical Sciences, 'Grigore T Popa' University of Medicine and Pharmacy, Universității str 16, 700115 Iasi, Romania., Stefan Rudeanu A; Hematology Clinic, 'Sf. Spiridon' County Clinical Emergency Hospital, 700111 Iasi, Romania., Delianu C; Central Clinical Laboratory-Hematology Department, 'Sf. Spiridon' County Clinical Emergency Hospital, 700111 Iasi, Romania., Lozneanu L; Department of Morpho-Functional Sciences I, Discipline of Histology, 'Grigore T. Popa' University of Medicine and Pharmacy, Universității str 16, 700115 Iasi, Romania.; Department of Pathology, 'Sf. Spiridon' Emergency County Hospital, 700111 Iasi, Romania.
Jazyk: angličtina
Zdroj: Medicina (Kaunas, Lithuania) [Medicina (Kaunas)] 2021 Mar 22; Vol. 57 (3). Date of Electronic Publication: 2021 Mar 22.
DOI: 10.3390/medicina57030293
Abstrakt: Pulmonary veins carry oxygenated blood from lungs to the left atrium of the heart. The anatomy of the pulmonary veins is variable with some anatomic variants. In clinical practice the difference between the normal anatomy of pulmonary veins with its variants and abnormal anatomy is very important for clinicians. Variants of pulmonary veins may occur in number, diameter and normal venous return. We present a case report and a review of the literature with the pulmonary venous return that deviates from the usual anatomical configuration and ranges from normal variant drainage to anomalous pulmonary-systemic communication. Initially, it was considered as an anatomical variant of the pulmonary venous return associated with the persistence of the left superior vena cava. Upon detailed exploration it was established that it was an anomaly of the pulmonary venous return which led in time to the installation of its complications. Diagnosis can be difficult, sometimes missed, or only made late in adulthood when complications were installed. Knowledge of variant anatomy and anomalous pulmonary venous return play a crucial role in the diagnostically challenging patient.
Databáze: MEDLINE
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