Evaluation of pulmonary vein variations and anomalies with 64 slice multi detector computed tomography

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dc.contributor.authorTekbas, Guven
dc.contributor.authorGumus, Hatice
dc.contributor.authorOnder, Hakan
dc.contributor.authorEkici, Faysal
dc.contributor.authorHamidi, Cihad
dc.contributor.authorTekbas, Ebru
dc.contributor.authorGulicetincakmak, Mehmet
dc.date.accessioned2024-04-24T16:01:55Z
dc.date.available2024-04-24T16:01:55Z
dc.date.issued2012
dc.departmentDicle Üniversitesien_US
dc.description.abstractPulmonary Veins are one of the major structures of circulation. In the last decade, pulmonary veins have been known to play an important role as the triggering focus of the electrical activity in atrial fibrillation. Primary treatment method of AF is RF ablation of the focus. For the best ablation, the anatomy of PVs should be well established before the procedure. MATERIAL AND METHODS: In our radiology department, 783 patients underwent computed tomography angiography between January 2008 and May 2010. Patients were referred for coronary CTA because of known or suspected coronary artery disease or computed tomography pulmonary angiography (CTPA) because of known or suspect pulmonary embolism. All scanning was performed on Philips Brilliance 64 slice Multidetector CT. The group consisted of 402 male and 381 female patients with the average age of 48 (range 14-89). CT data of patients were retrospectively reviewed to identify the PV anatomy and to determine anatomic variants and anomalies. RESULTS: In the majority of cases, two pulmonary veins drain into the left atrium on each side. Eighteen and eight variations were found in the right and left sides, respectively. Most frequent combined variations were 2R-4L (32.3%) and 4L was the more frequent single variation type (76%). In addition to that one Situs inversus totalis (0.12%), two partial anomalous pulmonary venous returns (0.25%) and one scimitar syndrome (0.12%) were found. CONCLUSION: This study showed that multiple types of variations of PVs can be found with increasing patient number. Therefore, for the successful ablation and surgery without any complications, the anatomy of PVs should be known before the procedure. MDCT is a reliable imaging method for the detailed cross-sectional and 3D anatomy.en_US
dc.identifier.doi10.1007/s00508-011-0086-9
dc.identifier.endpage10en_US
dc.identifier.issn0043-5325
dc.identifier.issn1613-7671
dc.identifier.issue1-2en_US
dc.identifier.pmid22183816
dc.identifier.scopus2-s2.0-84862268125
dc.identifier.scopusqualityQ1
dc.identifier.startpage3en_US
dc.identifier.urihttps://doi.org/10.1007/s00508-011-0086-9
dc.identifier.urihttps://hdl.handle.net/11468/14488
dc.identifier.volume124en_US
dc.identifier.wosWOS:000300286600001
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherSpringer Wienen_US
dc.relation.ispartofWiener Klinische Wochenschrift
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectPulmonary Veinen_US
dc.subjectVariationen_US
dc.subjectAnomaliesen_US
dc.subjectMdcten_US
dc.subjectCardiopulmonary Imagingen_US
dc.titleEvaluation of pulmonary vein variations and anomalies with 64 slice multi detector computed tomographyen_US
dc.titleEvaluation of pulmonary vein variations and anomalies with 64 slice multi detector computed tomography
dc.typeArticleen_US

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