True bacterial mural endocarditis.
نویسندگان
چکیده
existed with the pulmonary venous anomaly was considered. Resection of the left lower lobe was contemplated. Based upon careful palpation of the entire lung and presumptive evidence that the preoperative roentgenogram and the operative findings coincided, the decision not to resect was made. Delayed postoperative pulmonary angiography (Fig 2) confirmed the validity of this decision. Anomalies of the pulmonary vessels have been concisely categorized from a radiologic standpoint by Good.' His classification includes arteriovenous malformations, abnormal pulmonary venous connections and the scimitae syndrome, but the anomaly reported here is not included. One vascular abnormality which radiologically closely resembles that in our patient is pulmonary venous varicosity. Hipona2 compiled 21 patients with pulmonary varix, ten of whom had thoracotomy for lack of preoperative diagnosis. Others have discussed this malformation in patients who had the normal number of pulmonary veins."-' T o our knowledge, the combination of single left pulmonary vein appearing like a spheroidal mass on plain films and laminograms and resembling pulmonary venous varix on angiograms has not previously been reported.
منابع مشابه
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findings, and the invariant electrocardiograms made it impossible to establish clinically this diagnosis in the case at hand. Exudative mural endocarditis secondarv to bacterial infection. without a similar reaction in the valvular endocardium, is uncommon though Trasoff and Meranze7 mentioned this possibility in association with a Pneumococcal infection. They described a heart with a large thr...
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ورودعنوان ژورنال:
- Chest
دوره 59 1 شماره
صفحات -
تاریخ انتشار 1971