Keywords:
Cardiovascular system, CT, CT-Angiography, Diagnostic procedure, Computer Applications-3D, Contrast agent-intravenous, Congenital
Authors:
E. V. Nikolaeva; Astrakhan/RU
Results
All patients were divided into 3 groups.
1-patients with PAPVC and atrial septal defect secundum type
2- patients with PAPVC without septal defect
3- patients with scimitar syndrome
MDCT was additional examinations for patients of the first group for specification of individual lung vein and collector anatomy.
The diagnostics of PAPVC and scimitar syndrome was challenging for TT echo,
but was obvious at CT scans.
The forms of PAPVC without atrial septal defect include 4 cases of PAPVC into superior vena cava,
1-PAPVC into innominate vein,
1-PAPVC into coronary sinus.
2 cases of “adult” form and 1 “infantile” form of Scimitar syndrome were revealed.
The degree of right lung hypoplasia,
absence of scimitar vein stenosis,
presence or absence of atrial septal defect,
additional systemic arterial supply of right lung and other cardiac anomalies were indicated.
Post surgical lung vein and superior vena cava stenosis were also revealed on CT scans.
Combination with other abnormalities of the cardiovascular system was in 9% of cases: interventricular septal defect - 1,
coarctation of the aorta - 1 additional left-sided superior vena cava, drained into the coronary sinus - 9.