1967
DOI: 10.1161/01.cir.35.3.471
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Observations on the Natural History of Varicosity of Pulmonary Veins

Abstract: Pulmonary vein varix was diagnosed by roentgen studies in three patients. One showed enlargement of the lesion in 7 years with progression of heart disease and regression of the varix after correction of the mitral insufficiency. The other two patients without associated heart disease demonstrated no change in the varicosity of the pulmonary vein after 4 and 15 years.

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Cited by 44 publications
(14 citation statements)
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“…However, temporary resolution is insufficient to image timecourse hemodynamics, and this may have been one reason that the lesion was diagnosed as pulmonary arteriovenous malformation on the first CT in our case. The tissue constitution of the varix wall is normal in surgical cases, and acquired pulmonary varix disappears after vulvular surgery in a previous report, 10) suggesting that varix may be masked on CT because the volume of the venous lumen freely changes. Varices diagnosed on MRI and transesophageal echography have recently been reported.…”
Section: Discussionmentioning
confidence: 88%
“…However, temporary resolution is insufficient to image timecourse hemodynamics, and this may have been one reason that the lesion was diagnosed as pulmonary arteriovenous malformation on the first CT in our case. The tissue constitution of the varix wall is normal in surgical cases, and acquired pulmonary varix disappears after vulvular surgery in a previous report, 10) suggesting that varix may be masked on CT because the volume of the venous lumen freely changes. Varices diagnosed on MRI and transesophageal echography have recently been reported.…”
Section: Discussionmentioning
confidence: 88%
“…1. a n o r m a l No significant relation to cardiopulmonary disease has been demonstrated [1]. Hipona and Jamshidi [2] described a case with pulmonary venous hypertension where regression of the varices followed a mitral valvotomy. Several cases have been reported in apparently asymptomatic subjects, which is in favour of congenital origin [3].…”
Section: Discussionmentioning
confidence: 99%
“…The association of pulmonary varices with chronic pulmonary venous hypertension, particularly in the setting of mitral valve disease, and documented regression of varices after mitral valve replacement, suggests a pathogenic role for pulmonary venous hypertension in some patients. The vast majority of patients with longstanding pulmonary venous hypertension, however, do not develop pulmonary varices and an underlying structural abnormality may be necessary in order for a varix to form [6][7][8] .…”
mentioning
confidence: 99%