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Meandering pulmonary veins: Two case reports.

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Meandering pulmonary veins, a rare vascular anomaly, can occur on the left side and be associated with scimitar syndrome. Multi-detector computed tomography aids in diagnosis without invasive procedures.

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Area of Science:

  • Cardiovascular Imaging
  • Thoracic Radiology
  • Congenital Vascular Anomalies

Background:

  • Meandering pulmonary vein (MPV) is a rare congenital anomaly characterized by a circuitous unilateral pulmonary vein draining into the left atrium.
  • While typically right-sided, MPVs can present on the left and may be associated with scimitar syndrome.

Observation:

  • Two cases are presented: a 71-year-old woman with left-sided MPV and a 20-year-old man with right-sided MPV and scimitar syndrome features.
  • Both patients were incidentally found to have abnormal chest radiographs.

Findings:

  • Multi-detector chest computed tomography (MDCT) with 3D reconstruction accurately depicted the vascular anatomy in both patients.
  • The 71-year-old woman had an isolated left-sided MPV, while the 20-year-old man had a right-sided MPV with scimitar syndrome features.

Implications:

  • This study highlights that left-sided MPVs can occur and may coexist with scimitar syndrome.
  • MDCT with 3D reconstruction is a valuable non-invasive tool for diagnosing MPVs and associated anomalies, potentially avoiding invasive diagnostic procedures.