An Anomalous Unilateral Single Pulmonary Vein Associated with a Bone Morphogenetic Protein Receptor II Gene Mutation

Anomalous unilateral single pulmonary vein (AUSPV), a rare congenital anomaly, is associated with an aberrant course but normal drainage, and resembles arteriovenous malformation (AVM). We treated a 26-year-old man with AUSPV in the right lung and an anomalous segmental pulmonary vein in the left lu...

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Veröffentlicht in:Internal Medicine 2014, Vol.53(5), pp.461-466
Hauptverfasser: Koyama, Kazuya, Sano, Go, Hata, Yoshinobu, Shiraga, Nobuyuki, Ota, Hiroki, Sugino, Keishi, Isobe, Kazutoshi, Sakamoto, Susumu, Takai, Yujiro, Koezuka, Satoshi, Makino, Takashi, Otsuka, Hajime, Sato, Fumitomo, Sasamoto, Shuichi, Iyoda, Akira, Kurosaki, Atsuko, Homma, Sakae
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container_end_page 466
container_issue 5
container_start_page 461
container_title Internal Medicine
container_volume 53
creator Koyama, Kazuya
Sano, Go
Hata, Yoshinobu
Shiraga, Nobuyuki
Ota, Hiroki
Sugino, Keishi
Isobe, Kazutoshi
Sakamoto, Susumu
Takai, Yujiro
Koezuka, Satoshi
Makino, Takashi
Otsuka, Hajime
Sato, Fumitomo
Sasamoto, Shuichi
Iyoda, Akira
Kurosaki, Atsuko
Homma, Sakae
description Anomalous unilateral single pulmonary vein (AUSPV), a rare congenital anomaly, is associated with an aberrant course but normal drainage, and resembles arteriovenous malformation (AVM). We treated a 26-year-old man with AUSPV in the right lung and an anomalous segmental pulmonary vein in the left lung. CT revealed a tortuous vascular shadow with an enhancement pattern identical to that of the pulmonary vein, suggesting AUSPV. This was confirmed by pulmonary angiography. Although pulmonary AVMs were not detected on angiography, microvascular AVMs could not be excluded because delayed bubbles appeared on contrast echocardiography. A genetic examination revealed a missense mutation of BMPR2.
doi_str_mv 10.2169/internalmedicine.53.9245
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Med.</addtitle><description>Anomalous unilateral single pulmonary vein (AUSPV), a rare congenital anomaly, is associated with an aberrant course but normal drainage, and resembles arteriovenous malformation (AVM). We treated a 26-year-old man with AUSPV in the right lung and an anomalous segmental pulmonary vein in the left lung. CT revealed a tortuous vascular shadow with an enhancement pattern identical to that of the pulmonary vein, suggesting AUSPV. This was confirmed by pulmonary angiography. Although pulmonary AVMs were not detected on angiography, microvascular AVMs could not be excluded because delayed bubbles appeared on contrast echocardiography. 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A genetic examination revealed a missense mutation of BMPR2.</abstract><cop>Japan</cop><pub>The Japanese Society of Internal Medicine</pub><pmid>24583436</pmid><doi>10.2169/internalmedicine.53.9245</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Angiography
anomalous unilateral single pulmonary vein
Arteriovenous Malformations - diagnosis
Arteriovenous Malformations - genetics
Arteriovenous Malformations - metabolism
BMPR2
Bone Morphogenetic Protein Receptors, Type II - genetics
Diagnosis, Differential
DNA - genetics
DNA Mutational Analysis
Echocardiography
Humans
Lung - diagnostic imaging
Male
Mutation
pulmonary angiography
pulmonary arteriovenous malformation
pulmonary varix
Pulmonary Veins - abnormalities
Tomography, X-Ray Computed
title An Anomalous Unilateral Single Pulmonary Vein Associated with a Bone Morphogenetic Protein Receptor II Gene Mutation
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