An unusual manifestation of left partial anomalous pulmonary venous connection

Javangula, Kalyana; Cole, Jennifer; Cross, Mervyn J.; Kay, Philip

doi:10.1510/icvts.2009.231100

Cited by 28 publications

(20 citation statements)

References 4 publications

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“…In our case, we opted to remove the catheter since we had alternative options. Other authors opted for reposition of the catheter under fluoroscopy guidance [6, 14, 17]. However, Khanna and colleagues [11] reported using the CVL safely for two days as venous access.…”

Section: Discussionmentioning

confidence: 99%

Central Venous Line Insertion Revealing Partial Anomalous Pulmonary Venous Return: Diagnosis and Management

Alzghoul

Innabi

Chada

et al. 2017

Case Reports in Critical Care

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Section: Discussionmentioning

confidence: 99%

Central Venous Line Insertion Revealing Partial Anomalous Pulmonary Venous Return: Diagnosis and Management

Alzghoul

Innabi

Chada

et al. 2017

Case Reports in Critical Care

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“…An usual course of a central venous catheter [22]. Focal mediastinal widening to the left of the aortic knob (Fig.…”

Section: Papvd: Chest Radiographymentioning

confidence: 99%

Anomalous pulmonary venous drainage: a pictorial essay with a CT focus

Lyen

Wijesuriya

Ngan-Soo

et al. 2017

J Congenit Heart Dis

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The imaging of pulmonary venous anatomy has traditionally been performed with echocardiography and catheter pulmonary angiography. Magnetic resonance imaging (MRI) and notably multi-detector row computed tomography (CT) have refined the usual imaging techniques. Anomalous pulmonary venous drainage (APVD) is the drainage of one or more pulmonary veins outside the left atrium. Its detection is critical due to the strong association with congenital heart disease as well as other cardiac and respiratory anomalies, which have significant implications for patient management. The pervasive application of CT combined with the relatively non-specific clinical presentation of APVD has resulted in the increased incidental detection of these anomalies. Knowledge is hence vital as the imaging specialist is now usually the first person to make such a diagnosis. Furthermore, pulmonary veins are an important site for arrhythmogenic foci and radiofrequency ablation of such sites is used in the treatment of refractory atrial fibrillation. Hence an imaging road map of these veins is crucial before any management can take place. This pictorial review will illustrate embryology, normal and variant pulmonary vein anatomy, and varied patterns of APVD. Finally, we discuss the implications in the treatment of atrial fibrillation.

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“…In a rightsided anomalous connection, the vein is most commonly relocated to the right atrium or right atrial appendage and an intracardiac tunnel or baffle is constructed in combination with a created or preexisting atrial septal defect to direct blood flow to the left atrium. Catheter placement in PAPVRs has been described, 7,8 …”

Section: Catheterization Of Left Anomalous Pulmonary Veinmentioning

confidence: 99%

Unpredictable Location of Central Catheter

DiBrito

Stephens

2014

JAMA Surg

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A man in his mid-50s presented to the hospital with malaise, fevers, hypotension, and altered mental status. Three months prior, he had an episode of native aortic valve endocarditis, necessitating aortic valve replacement with a pericardial bioprosthesis. He developed postoperative acute renal failure, which progressed to chronic renal failure requiring dialysis via tunneled catheter. On this admission, he was found to have methicillin-resistant Staphylococcus aureus (MRSA) bacteremia. Transesophageal echocardiography demonstrated a vegetation on his prosthetic aortic valve. He was diagnosed as having MRSA prosthetic valve endocarditis and admitted to the cardiovascular surgical intensive care unit prior to surgical intervention.In the setting of MRSA bacteremia, his tunneled dialysis catheter had been removed. Owing to his dialysis needs, a temporary dialysis catheter was placed in the right internal jugular vein. As intravenous access was required for vasoactive medications and intravenous antibiotics, a triple-lumen central catheter was placed in the left internal jugular vein under ultrasonographic guidance. The catheter went in easily without resistance, was drop tested to confirm venous placement, and flushed and drew easily, and venous waveforms and pressures were transduced. However, on postprocedure radiography, the tip of the triple-lumen catheter was not in the expected location (Figure 1). The catheter was removed, and a new-stick insertion of a new catheter was attempted under ultrasonographic guidance.Quiz at jamasurgery.com

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An unusual manifestation of left partial anomalous pulmonary venous connection

Abstract: A 68-year-old male patient had aortic valve replacement for aortic valve endocarditis. The central line (left) position looked abnormal on chest X-ray. Contrast studies confirmed left sided partial anomalous pulmonary venous connection.

Cited by 28 publications

References 4 publications

Central Venous Line Insertion Revealing Partial Anomalous Pulmonary Venous Return: Diagnosis and Management

Central Venous Line Insertion Revealing Partial Anomalous Pulmonary Venous Return: Diagnosis and Management

Anomalous pulmonary venous drainage: a pictorial essay with a CT focus

Unpredictable Location of Central Catheter

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