Isolated supra-cardiac partial anomalous pulmonary venous connection causing right heart failure

Sogomonian, Robert; Alkhawam, Hassan; Zaiem, Feras; Vyas, Neil; Jolly, J.; Nguyen, James; Haftevani, Emma A. Moradoghli; Dijanic, Christopher; Lieber, Joseph

doi:10.3402/jchimp.v6.30817

Cited by 6 publications

(4 citation statements)

References 2 publications

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“…While one or more pulmonary veins are defective in the partial type, all the pulmonary veins are unrelated to the left atrium in total anomaly 5 . PAPVR is most commonly encountered in the supracardiac form, in which the right upper pulmonary vein drains into the right atrium or superior vena cava, 6 as in our case. The abnormal pulmonary venous return may be supracardiac, cardiac, infracardiac, or mixed type.…”

Section: Discussionmentioning

confidence: 55%

Persistent right heart dilatation after percutaneous mitral balloon valvuloplasty: A weird coexistence of iatrogenic and congenital shunts

et al. 2022

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We present an interesting case of concomitant congenital anomalies with an iatrogenic defect. The female patient underwent a percutaneous mitral balloon valvuloplasty due to rheumatic mitral stenosis. Unfortunately, an iatrogenic atrial septal defect (ASD) transpired during the procedure. Upon post‐procedure examination, partial anomalous pulmonary venous (PAPVR) return was observed. The patient was symptomatic; on imaging, dilatation of the right heart chambers were detected. In addition, another crucial point was that the patient was planning a pregnancy, thus robotic surgery for iatrogenic ASD and PAPVR return was recommended. After a successful operation, the patient was asymptomatic and the size of right heart chambers were normalized.

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Section: Discussionmentioning

confidence: 55%

Persistent right heart dilatation after percutaneous mitral balloon valvuloplasty: A weird coexistence of iatrogenic and congenital shunts

et al. 2022

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“…While one or more pulmonary veins are defective in the partial type, all of the pulmonary veins are unrelated to the left atrium in total anomaly (5). PAPVR is most commonly encountered in the supracardiac form in which the right upper pulmonary vein drains into the right atrium or superior vena cava (6), as in our case. The abnormal pulmonary venous return may be supracardiac, cardiac, infracardiac, or mixed type.…”

Section: Discussionmentioning

confidence: 55%

What a coindence to be pregnant: partial pulmonary venous return abnormality, iatrogenic atrial septal defect, rheumatic mitral stenosis

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et al. 2022

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Herein we present a case of concomitant congenital anomalies with an iatrogenic defect. The female patient underwent a percutaneous mitral balloon valvuloplasty due to rheumatic mitral stenosis. Unfortunately, an iatrogenic atrial septal defect (ASD) occurred and also, partial anomalous pulmonary venous return was observed at post-procedure evaluation. The patient had severe symptoms and the right heart chambers were dilated on imaging. But perhaps, the most crucial point was that the patient was planning a pregnancy. After a difficult and patient-involved decision process, the patient underwent to successful robotic surgery for iatrogenic ASD and partial anomalous pulmonary venous return. After operation, the patient was asymptomatic and right heart chambers normalized.

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“…Partial anomalous pulmonary venous return (PAPVR) is another congenital vascular anomaly that is characterized by the drainage of one or more pulmonary veins to systemic circulation or right atrium [20,21 ]. Four variants of PAPVR have been reported: supra-cardiac, cardiac, infra-cardiac and mixed [22]. The most common venous return anomaly is the drainage of the right superior pulmonary vein to superior vena cava or right atrium.…”

Section: Dadalı Y Et Al Mediastinal Vascular Anomaliesmentioning

confidence: 99%

Evaluation of Congenital Mediastinal Vascular Anomaly Types And Frequencies Among 2000 Cases

et al. 2022

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Amaç: Bu çalışmamızda bölgemizde konjenital mediastinal vasküler anomalilerin sıklığını araştırmayı planladık. Yöntem: Yaklaşık 2 yıllık bir süreçte non-spesifik semptomlar ile kontrastlı toraks Bilgisayarlı Tomografi çekilen hastaların özellikleri hastane veri tabanından retrospektif olarak tarandı. Yaş ve cinsiyet gibi demografik özellikler kaydedildi. Tüm Bilgisayarlı Tomografi görüntüleri, persistan sol superior vena kava, azygos lobu, aberran sağ subklavien arter, dilate sol superior interkostal ven, sağ taraflı arkus aorta, situs inversus ve parsiyel anormal pulmoner venöz dönüş anomalileri açısından yorumlandı. Çalışmamızda bulunan insidans değerleri ile önceki çalışmaların sonuçları karşılaştırıldı. Bulgular: Mediastinal vasküler anomali 62 (%3.1) hastada saptandı. Kadın hastaların 27 (%3.5)'inde ve erkek hastaların 35 (%2.6) 'inde bir mediastinal vasküler anomali gözlemlendi. Çalışmamızdaki en sık saptanan mediastinal vasküler anomali, sağ aberran subklavien arter (n:17, %0.9) ve en nadir görüleni ise parsiyel anormal pulmoner venöz dönüş anomalisi idi (n:1, %0.1). Persistan sol superior vena kava insidansı %0.3 (n:6), azygos lobu %0.7 (n:14), sağ taraflı arkus aorta %0.3 (n:5), situs inversus totalis %0.2 (n:3) ve genişlemiş sol superior interkostal ven ise %0.8 (n:16) olarak bulundu. Sonuç: Mediastinal vasküler anomaliler nadir olup sıklıkla asemptomatiktir. Ancak bu durumların görüntüleme bulgularının iyi bilinmesi, girişimsel işlemleri doğru biçimde planlamada ve aynı zamanda iatrojenik yaralanmaları önlemede gereklidir.Anahtar Kelimeler: Bilgisayarlı Tomografi, Parsiyel anormal pulmoner venöz dönüş anomalisi, Sağ aberran subklavien arter, Situs inversus totalis, Genişlemiş sol superior interkostal ven

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Isolated supra-cardiac partial anomalous pulmonary venous connection causing right heart failure

Cited by 6 publications

References 2 publications

Persistent right heart dilatation after percutaneous mitral balloon valvuloplasty: A weird coexistence of iatrogenic and congenital shunts

Persistent right heart dilatation after percutaneous mitral balloon valvuloplasty: A weird coexistence of iatrogenic and congenital shunts

What a coindence to be pregnant: partial pulmonary venous return abnormality, iatrogenic atrial septal defect, rheumatic mitral stenosis

Evaluation of Congenital Mediastinal Vascular Anomaly Types And Frequencies Among 2000 Cases

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