Image in medicine
Saccular varix of pulmonary vein mimicking a pulmonary nodule
Variz sacular de vena pulmonar simulando un nódulo pulmonar
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Chest X-ray showed cardiomegaly and a nodule on the right lung base (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A, arrows). An echocardiogram detected a dilation of the left atrium secondary to mitral stenosis. A chest CT scan confirmed that the nodular lesion corresponded to a saccular varix of 25<span class="elsevierStyleHsp" style=""></span>mm of the right lower pulmonary vein (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B, asterisk).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Pulmonary varix (PV) is a rare aneurysmal dilatation of a pulmonary vein's segment that normally drains into the left atrium. PV may be congenital or acquired, and the latter are usually associated with chronic venous pulmonary hypertension (especially in patients with mitral valvulopathy). They are often single, and can be found in any pulmonary lobe, although most VPs affect the right lower pulmonary vein. Isolated cases of embolic stroke, bronchial compression, or even bleeding from a PV to the pleural space or bronchial tree have been described, but in general they do not require any specific treatment. Some VPs associated with venous pulmonary hypertension resolve when mitral valvular replacement is performed. We believe that PV should be included in the differential diagnosis of the pulmonary nodule, especially in patients with mitral valvulopathy or chronic venous pulmonary hypertension.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Gorospe L, Ureña-Vacas A, Fernández-Méndez MÁ, Mercedes-Noboa E. Variz sacular de vena pulmonar simulando un nódulo pulmonar. Med Clin (Barc). 2017;148:577.</p>" ] ] "multimedia" => array:1 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 600 "Ancho" => 1503 "Tamanyo" => 137179 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23870206/0000014800000012/v1_201707060050/S238702061730373X/v1_201707060050/en/main.assets" "Apartado" => array:4 [ "identificador" => "51820" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in medicine" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23870206/0000014800000012/v1_201707060050/S238702061730373X/v1_201707060050/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S238702061730373X?idApp=UINPBA00004N" ]
