Clinical-pathologic conference in surgery for congenital and acquired cardiovascular disease: unilateral pulmonary vein stenosis with a contralateral pulmonary varix.

摘要

Dr Douglas: A 41-yeai-old woman was admitted to our medical center by the pulmonologist in July 2004 because of progressive dyspnea on exertion There was no remarkable medical history except for mild dyspnea existing from about 1996. Physical examination revealed no dyspnea at rest, with normal breath sounds There were no signs of cyanosis Laboratory data demonstrated a normal hematologic profile, and there was no serologic evidence of a systemic disease The chest film showed bilateral interstitial abnormalities and a blurred left hemidiaphragm (Figure 1).