A Combination of a Partial Anomalous Pulmonary Venous Connection (PAPVC) and a Lung Tumor Requiring Pulmonary Resection

Koyanagi, Izumi; Hayashida, Masakazu; Nozumi, Yusaku; Banno, Takamitsu; Hirayama, Shunki; Suzuki, Kenji; Satoh, Daizoh; Naito, Yoshiyuki; Inada, Eiichi

doi:10.1053/j.jvca.2016.06.011

Cited by 17 publications

(26 citation statements)

References 19 publications

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“…These anomalies are most frequently identified in children, where they are typically right sided and are associated with ASDs in 80-90% of cases (1,2). In the pediatric population, repair is indicated when pulmonary-to-systemic flow ratio (Qp/Qs) approaches 1.5 (2,3).…”

Section: Discussionmentioning

confidence: 99%

“…These factors are important as significant pulmonary resections in patients with elevated Qp/Qs ratios can result in fulminant right-heart failure due to acute increases in shunt fraction through the PAPVC and elevated pulmonary arterial pressures (3,4). Although a clear Qp/Qs cut-off is unknown, patients with Qp/ Qs greater than 1.5 or symptomatic PAPVCs are at high risk for post-operative complications, and thus should undergo PAPVC repair.…”

Section: Discussionmentioning

confidence: 99%

“…Although a clear Qp/Qs cut-off is unknown, patients with Qp/ Qs greater than 1.5 or symptomatic PAPVCs are at high risk for post-operative complications, and thus should undergo PAPVC repair. Successful PAPVC repair has been described both prior to and during pulmonary resection with good success (3,6,8,12). For patients with asymptomatic PAPVCs and normal Qp/Qs, standard pulmonary resection is likely sufficient.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Management of partial anomalous pulmonary venous connections in patients requiring pulmonary resection: a case report and systematic review

Singhal¹,

Newton²,

Corbett³

et al. 2017

J. Thorac. Dis.

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Partial anomalous pulmonary venous connections (PAPVCs) are rare congenital anomalies that are frequently asymptomatic in adults. When PAPVCs are encountered in the patient requiring pulmonary resection, improper management can result in fulminant right-heart failure and death. In this report, we note our management of a 70-year-old male who presented with a right upper lobe ground-glass opacity (GGO) and a PAPVC. We also provide a systematic review of all contemporary reports and provide an algorithm for PAPVC management in the adult patient requiring pulmonary resection.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Management of partial anomalous pulmonary venous connections in patients requiring pulmonary resection: a case report and systematic review

Singhal¹,

Newton²,

Corbett³

et al. 2017

J. Thorac. Dis.

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show abstract

“…Therefore, it is very critical to detect and correct this anomaly to prevent heart failure from occurring during or after surgery. Approximately, 50% of patients with PAPVCs are diagnosed intraoperatively (8).…”

Section: Discussionmentioning

confidence: 99%

Misdiagnosis of anomalous pulmonary venous connections in a patient with lung cancer and a review of the literature

Tamburini¹,

Marchi²,

Bassi³

et al. 2017

J. Thorac. Dis.

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A partial anomalous pulmonary venous connection (PAPVC) is a rare congenital defect in which at least one pulmonary vein doesn't drain into the left atrium but into a systemic vein or even into the right atrium, causing a left-to right shunt. PAPVC with a small amount of shunt are usually asymptomatic, and can not be detected during lifetime. Nevertheless, if those patients undergo a major lung resection, the surgical procedure could precipitate right heart failure if this anomalous shunt remains uncorrected. Therefore, it is considered to be very important preoperative diagnosis. In case report, we present a case of a 54-year-old woman with a right upper lobe non-small cell lung cancer and previous history of left lung resection for tuberculosis. During surgery, an anomalous pulmonary vein branch draining into the superior vena cava was incidentally detected. The abnormality was diagnosed as a PAPVC. A right upper open lobectomy was performed. The anomaly was corrected and the surgery was successful without postoperative complications.Surgeons should be aware of this rare anomaly and carefully evaluate preoperative images CT scans of the pulmonary veins.

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“…Our experience also suggests that it is necessary to assess the predicted postoperative Qp/Qs before pulmonary resection to create a safe treatment plan, as in the present 2 cases. Kawagoe and colleagues [8] reported that PAPVCs were identified preoperatively in 8 of 20 PAPVC cases that required pulmonary…”

Section: Commentmentioning

confidence: 99%

Lung Cancer Surgery in Partial Anomalous Pulmonary Venous Connection Patients

Kurihara

Saito

Usami

et al. 2018

The Annals of Thoracic Surgery

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We report pulmonary resections for lung cancers in 2 patients with partial anomalous pulmonary venous connection (PAPVC) identified preoperatively. In case 1, right upper lobectomy was performed as the definitive operation for both lung cancer and PAPVC in the same lobe. In case 2, because lung cancer and PAPVC existed in different lobes, cardiac catheterization was performed to evaluate the need for correction of the PAPVC. Then, left lower lobectomy was safely performed without correcting the PAPVC located in the left upper lobe. The treatment plan for patients with PAPVC who require pulmonary resection should be carefully considered.

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A Combination of a Partial Anomalous Pulmonary Venous Connection (PAPVC) and a Lung Tumor Requiring Pulmonary Resection

Cited by 17 publications

References 19 publications

Management of partial anomalous pulmonary venous connections in patients requiring pulmonary resection: a case report and systematic review

Management of partial anomalous pulmonary venous connections in patients requiring pulmonary resection: a case report and systematic review

Misdiagnosis of anomalous pulmonary venous connections in a patient with lung cancer and a review of the literature

Lung Cancer Surgery in Partial Anomalous Pulmonary Venous Connection Patients

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