An anatomical study of the partial anomalous pulmonary venous return with special references to the bronchial vein

Springer Science and Business Media LLC - Tập 79 - Trang 82-86 - 2004
Keishi Okamoto1, Kodo Kodama2, Katsushi Kawai2, Tetsuaki Wakebe1, Kazunobu Saiki1, Seiji Nagashima1
1Department of Developmental and Reconstructive Medicine, Graduate School of Biomedical Science, Nagasaki University, Nagasaki, Japan
2Department of Anatomy, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan

Tóm tắt

Two examples of partial anomalous drainage of the pulmonary vein were detected at dissection. The first case was found in a 70-year-old female Japanese. An aberrant vein, approximately 6 mm in diameter, that derived from the upper lobe of the right lung was observed to drain into the superior vena cava at a point just below the entrance of the azygos vein. The other veins from the right lung gathered into two pulmonary veins and returned into the left atrium as usual. In the second case, which was found in an 80-year-old female Japanese, a connecting vein, approximately 8 mm in diameter, was found between the left superior pulmonary vein and the left brachiocephalic vein. In this case, although the direction of the blood flow within the connecting vein was not certain, it is probable that the blood passed from the pulmonary vein into the brachiocephalic vein, judging from the increase in the width of the latter vein. No other anomalies were found in the cardiovascular systems. At the occurrence of the anomalous drainage of the pulmonary veins in both cases, we suspected the role of the bronchial vein to be a communicating and boundary vein between the pulmonary and systemic circulations. The developmental background of these anomalies is also considered.

Tài liệu tham khảo

Adachi B (1933) Das Venensystem derJapaner. Erste Lieferung-Verlag der Kaiserlich-Japanischen Universität zu Kyoto (University of Kyoto), Kyoto. Brody H (1942) Drainage of the pulmonary veins into the right side of the heart. Arch Pathol 33, 221–40. Brown AJ (1913) The development of the pulmonary vein in the domestic cat. Anat Rec 7, 299–329. Chiba S, Suzuki T, Takahashi D, Kasai T (1990) An autopsy case of azygos lobe and the extra-pulmonary course of the bronchial veins in man. Okajimas Folia Anat Jpn 66, 313–38. Compere DH, Forsyth HF (1944) Anomalous pulmonary veins: Report of a case. J Thorac Surg 13, 63–6. Conn LC, Calder J, MacGregor JW, Shaner RF (1942) Report of a case in which all pulmonary veins from both lungs drain into the superior vena cava. Anat Rec 83, 335–40. Geddes AC (1912) Abnormal superior vena cava. Anat Anz 41, 449–53. Hall SM, Hislop AA, Haworth SG (2002) Origin, differentiation, and maturation of human pulmonary veins. Am J Respir Cell Mol Biol 26, 333–40. Hislop AA (2002) Airway and blood vessel interaction during lung development. J Anat 201, 325–34. Johnston TB (1915) Opening of the upper left pulmonary vein into a persistent left superior vena cava. J Anat 49, 182–6. Kasai T (1989) Anatomical findings of the bronchial arteries. J Jpn Soc Bronchol 11, 530–40 (in Japanese with an English abstract). Marchand P, Gilroy JC, Wilson VH (1950) An anatomical study of the bronchial vascular system and its variations in disease. Thorax 5, 207–21. Meckel JF (1820) Handbuch der menschlichen Anatomie. Bd 4. Buchhandlungen des Hallischen Waisenhauses, Halle. Miki S (1979) Morphology of life (6). Comp Nurs Q 14, 91–139. (In Japanese). Millino C, Sarinella F, Tiveron C, Villa A, Sartore S, Ausoni S (2000) Cardiac and smooth cell contribution to the formation of the murine pulmonary veins. Dev Dyn 218, 414–25. Patten BM (1968) Anomalous pulmonary veins. In: Human Embryology, 3rd edn. McGraw-Hill, New York, 557–61. Rowe RD (1978) Anomalies of venous return. In: Heart Disease in Infancy and Childhood, 3rd edn. (Keith JD, ed.). Macmillan, New York, 558–77. Sato S, Kitamura S, Onishi K et al. (1981) Surgical management for partial anomalous pulmonary venous drainage. Heart 13, 1521–8 (in Japanese). Shaner RF (1961) The development of the bronchial veins, with special reference to anomalies of the pulmonary veins. Anat Rec 140, 159–65. Snellen HA, van Ingen HC, Hoefsmit E, Ch M (1968) Patterns of anomalous pulmonary venous drainage. Circulation 38, 45–63. Yamashita M (1954) Studies on the bronchial artery and vein especially on relationship between bronchial and pulmonary vessels. Lung 1, 458–90 (in Japanese). Zuckerkandl E (1881) Über die Anastomosen der Venae pulmonales mit den Bronchialvenen und mit dem mediastinalen Venennetze. Sitzungsberichte Kaiserlichen Akad WissAbt III 84, 110–52.