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Cardiac
Diagnosis
Veins
Partial Anomalous Pulmonary Venous Return
Partial Anomalous Pulmonary Venous Return
Jonathan Hero Chung, MD; Prabhakar Rajiah, MBBS, MD, FRCR, FSCMR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Abbreviations

              • Partial anomalous pulmonary venous return (PAPVR)

            • Synonyms

              • Partial anomalous pulmonary venous drainage
              • Partial anomalous pulmonary venous connection

            • Definitions

              • Congenital anomaly in which pulmonary veins (1-3) drain into systemic veins rather than into left atrium
                • Scimitar syndrome is right-sided PAPVR draining into inferior vena cava (IVC) accompanied by hypoplasia of right lung and dextroposition of heart

            IMAGING

            • General Features

              • Radiographic Findings

                • CT Findings

                  • MR Findings

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        CLINICAL ISSUES

                        • Presentation

                          • Demographics

                            • Natural History & Prognosis

                              • Treatment

                                DIAGNOSTIC CHECKLIST

                                • Image Interpretation Pearls

                                  Selected References

                                  1. Masrani A et al: Anatomical associations and radiological characteristics of scimitar syndrome on CT and MR. J Cardiovasc Comput Tomogr. 12(4):286-9, 2018
                                  2. Generali T et al: Partial anomalous pulmonary vein connection. J Card Surg. 27(2):245, 2012
                                  3. Halpin JS et al: Partial anomalous pulmonary venous return through a left subaortic vein. J Thorac Imaging. 27(6):W177-9, 2012
                                  4. Vyas HV et al: MR imaging and CT evaluation of congenital pulmonary vein abnormalities in neonates and infants. Radiographics. 32(1):87-98, 2012
                                  5. Aramendi JI et al: Partial anomalous pulmonary venous connection to the superior vena cava. Ann Thorac Surg. 91(4):e64-6, 2011
                                  6. Harrison LH Jr et al: Partial anomalous pulmonary venous connection in adults: a simplified approach. Ann Thorac Surg. 89(1):283-5, 2010
                                  7. Dillman JR et al: Imaging of pulmonary venous developmental anomalies. AJR Am J Roentgenol. 192(5):1272-85, 2009
                                  8. Ho ML et al: MDCT of partial anomalous pulmonary venous return (PAPVR) in adults. J Thorac Imaging. 24(2):89-95, 2009
                                  9. Pryshchepau M et al: Anomalous partial pulmonary venous drainage. Eur J Cardiothorac Surg. 36(5):933, 2009
                                  10. Demos TC et al: Venous anomalies of the thorax. AJR Am J Roentgenol. 182(5):1139-50, 2004
                                  11. Remy-Jardin M et al: Spiral CT angiography of the pulmonary circulation. Radiology. 212(3):615-36, 1999
                                  Related Anatomy
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                                  Related Differential Diagnoses
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                                  References
                                  Tables

                                  Tables

                                  KEY FACTS

                                  • Terminology

                                    • Imaging

                                      • Top Differential Diagnoses

                                        • Pathology

                                          • Clinical Issues

                                            TERMINOLOGY

                                            • Abbreviations

                                              • Partial anomalous pulmonary venous return (PAPVR)

                                            • Synonyms

                                              • Partial anomalous pulmonary venous drainage
                                              • Partial anomalous pulmonary venous connection

                                            • Definitions

                                              • Congenital anomaly in which pulmonary veins (1-3) drain into systemic veins rather than into left atrium
                                                • Scimitar syndrome is right-sided PAPVR draining into inferior vena cava (IVC) accompanied by hypoplasia of right lung and dextroposition of heart

                                            IMAGING

                                            • General Features

                                              • Radiographic Findings

                                                • CT Findings

                                                  • MR Findings

                                                    DIFFERENTIAL DIAGNOSIS

                                                      PATHOLOGY

                                                      • General Features

                                                        CLINICAL ISSUES

                                                        • Presentation

                                                          • Demographics

                                                            • Natural History & Prognosis

                                                              • Treatment

                                                                DIAGNOSTIC CHECKLIST

                                                                • Image Interpretation Pearls

                                                                  Selected References

                                                                  1. Masrani A et al: Anatomical associations and radiological characteristics of scimitar syndrome on CT and MR. J Cardiovasc Comput Tomogr. 12(4):286-9, 2018
                                                                  2. Generali T et al: Partial anomalous pulmonary vein connection. J Card Surg. 27(2):245, 2012
                                                                  3. Halpin JS et al: Partial anomalous pulmonary venous return through a left subaortic vein. J Thorac Imaging. 27(6):W177-9, 2012
                                                                  4. Vyas HV et al: MR imaging and CT evaluation of congenital pulmonary vein abnormalities in neonates and infants. Radiographics. 32(1):87-98, 2012
                                                                  5. Aramendi JI et al: Partial anomalous pulmonary venous connection to the superior vena cava. Ann Thorac Surg. 91(4):e64-6, 2011
                                                                  6. Harrison LH Jr et al: Partial anomalous pulmonary venous connection in adults: a simplified approach. Ann Thorac Surg. 89(1):283-5, 2010
                                                                  7. Dillman JR et al: Imaging of pulmonary venous developmental anomalies. AJR Am J Roentgenol. 192(5):1272-85, 2009
                                                                  8. Ho ML et al: MDCT of partial anomalous pulmonary venous return (PAPVR) in adults. J Thorac Imaging. 24(2):89-95, 2009
                                                                  9. Pryshchepau M et al: Anomalous partial pulmonary venous drainage. Eur J Cardiothorac Surg. 36(5):933, 2009
                                                                  10. Demos TC et al: Venous anomalies of the thorax. AJR Am J Roentgenol. 182(5):1139-50, 2004
                                                                  11. Remy-Jardin M et al: Spiral CT angiography of the pulmonary circulation. Radiology. 212(3):615-36, 1999
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