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Pulmonary Vein Stenosis
Suhny Abbara, MD, FACR, FSCCT; Justin Stowell, MD; Christopher M. Walker, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Definitions

              • Congenital stenosis of pulmonary vein (PV) in isolation or associated with congenital heart disease (CHD)
              • Acquired stenosis of PV after procedure [e.g., radiofrequency catheter ablation (RFCA) for atrial fibrillation] or secondary to extraluminal compression

            IMAGING

            • General Features

              • Radiographic Findings

                • CT Findings

                  • MR Findings

                    • Echocardiographic Findings

                      • Angiographic Findings

                        • Imaging Recommendations

                          DIFFERENTIAL DIAGNOSIS

                            PATHOLOGY

                            • General Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Consider

                                        Selected References

                                        1. DiLorenzo MP et al: Pulmonary vein stenosis: outcomes in children with congenital heart disease and prematurity. Semin Thorac Cardiovasc Surg. ePub, 2018
                                        2. Hassani C et al: Comprehensive cross-sectional imaging of the pulmonary veins. Radiographics. 37(7):1928-54, 2017
                                        3. Pazos-López P et al: Pulmonary vein stenosis: etiology, diagnosis and management. World J Cardiol. 8(1):81-8, 2016
                                        4. Shroff GS et al: CT imaging of complications of catheter ablation for atrial fibrillation. Clin Radiol. 69(1):96-102, 2014
                                        5. Vyas HV et al: MR imaging and CT evaluation of congenital pulmonary vein abnormalities in neonates and infants. Radiographics. 32(1):87-98, 2012
                                        6. Stavrakis S et al: Transesophageal echocardiography for the diagnosis of pulmonary vein stenosis after catheter ablation of atrial fibrillation: a systematic review. Echocardiography. 27(9):1141-6, 2010
                                        7. Dillman JR et al: Imaging of pulmonary venous developmental anomalies. AJR Am J Roentgenol. 192(5):1272-85, 2009
                                        8. Ghaye B et al: Percutaneous ablation for atrial fibrillation: the role of cross-sectional imaging. Radiographics. 23 Spec No:S19-33; discussion S48-50, 2003
                                        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

                                                  • Definitions

                                                    • Congenital stenosis of pulmonary vein (PV) in isolation or associated with congenital heart disease (CHD)
                                                    • Acquired stenosis of PV after procedure [e.g., radiofrequency catheter ablation (RFCA) for atrial fibrillation] or secondary to extraluminal compression

                                                  IMAGING

                                                  • General Features

                                                    • Radiographic Findings

                                                      • CT Findings

                                                        • MR Findings

                                                          • Echocardiographic Findings

                                                            • Angiographic Findings

                                                              • Imaging Recommendations

                                                                DIFFERENTIAL DIAGNOSIS

                                                                  PATHOLOGY

                                                                  • General Features

                                                                    CLINICAL ISSUES

                                                                    • Presentation

                                                                      • Demographics

                                                                        • Natural History & Prognosis

                                                                          • Treatment

                                                                            DIAGNOSTIC CHECKLIST

                                                                            • Consider

                                                                              Selected References

                                                                              1. DiLorenzo MP et al: Pulmonary vein stenosis: outcomes in children with congenital heart disease and prematurity. Semin Thorac Cardiovasc Surg. ePub, 2018
                                                                              2. Hassani C et al: Comprehensive cross-sectional imaging of the pulmonary veins. Radiographics. 37(7):1928-54, 2017
                                                                              3. Pazos-López P et al: Pulmonary vein stenosis: etiology, diagnosis and management. World J Cardiol. 8(1):81-8, 2016
                                                                              4. Shroff GS et al: CT imaging of complications of catheter ablation for atrial fibrillation. Clin Radiol. 69(1):96-102, 2014
                                                                              5. Vyas HV et al: MR imaging and CT evaluation of congenital pulmonary vein abnormalities in neonates and infants. Radiographics. 32(1):87-98, 2012
                                                                              6. Stavrakis S et al: Transesophageal echocardiography for the diagnosis of pulmonary vein stenosis after catheter ablation of atrial fibrillation: a systematic review. Echocardiography. 27(9):1141-6, 2010
                                                                              7. Dillman JR et al: Imaging of pulmonary venous developmental anomalies. AJR Am J Roentgenol. 192(5):1272-85, 2009
                                                                              8. Ghaye B et al: Percutaneous ablation for atrial fibrillation: the role of cross-sectional imaging. Radiographics. 23 Spec No:S19-33; discussion S48-50, 2003