Journal of Cardiovascular Computed Tomography
Volume 4, Issue 3 , Pages 155-163, May 2010

Computed tomography of pulmonary venous variants and anomalies

  • Prabhakar Rajiah, MBBS, MD, FRCR

      Affiliations

    • Cardiovascular Imaging Laboratory, Imaging Institute, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA
    • Corresponding Author InformationCorresponding author.
  • ,
  • Jeffrey P. Kanne, MD

      Affiliations

    • Division of Cardiothoracic Imaging, Department of Radiology, University of Wisconsin-Madison, Madison, WI, USA

Received 23 July 2009; accepted 9 January 2010. published online 29 January 2010.

Abstract 

Radiofrequency ablation of the pulmonary veins is a well-established technique in the management of atrial fibrillation. Computed tomography (CT) plays an important role in the evaluation of these patients, especially delineating pulmonary venous anatomy, anatomic variations, and complications after radiofrequency ablation. CT scan is characterized by high spatial and temporal resolutions, multiplanar reconstruction capabilities, and wide field of view. Knowledge of the normal pulmonary venous anatomy, anatomic variants, and optimal scanning protocol is essential for preablation planning and for evaluation of postablation complications. In this pictorial review, the CT appearance of various pulmonary venous variants and anomalies are discussed and illustrated.

Keywords: Ablation, Anomalies, CT, Pulmonary veins

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 Conflict of interest: The authors report no conflicts of interest.

PII: S1934-5925(10)00019-5

doi:10.1016/j.jcct.2010.01.016

Journal of Cardiovascular Computed Tomography
Volume 4, Issue 3 , Pages 155-163, May 2010