Partially anomalous pulmonary venous connection: Demonstration of dual drainage allowing nonsurgical correction

Forbess, Lisa W.; O’Laughlin, Martin P.; Harrison, J. Kevin

doi:10.1002/(sici)1097-0304(199807)44:3<330::aid-ccd19>3.0.co;2-o

Cited by 25 publications

(10 citation statements)

References 12 publications

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“…Catheter embolization of the anomalous vein was also considered. However, this was not a viable option in our patient as there was no concomitant connection from the anomalous vein to the left atrium, which can accommodate the venous drainage after the anomalous vein has been embolized [ 9 ]. In our patient, given her high surgical risk, medical therapy alone was adopted.…”

Section: Discussionmentioning

confidence: 99%

Pulmonary Hypertension Secondary to Partial Anomalous Pulmonary Venous Return in an Elderly

Koester

Lee

2016

Case Reports in Cardiology

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Background. Partial anomalous pulmonary venous return (PAPVR) is an uncommon congenital abnormality, which may present in the adult population. It is often associated with sinus venosus defect (SVD). The diagnosis and therapy for this condition may be challenging. Case Presentation. We describe a case of an elderly woman who presented with NYHA Class IV dyspnea and was suspected to have symptomatic pulmonary hypertension. She was later found to have anomalous right upper pulmonary vein return to the superior vena cava and associated SVD with bidirectional shunting. Therapeutic options were discussed and medical management alone with aggressive diuresis and sildenafil was adopted. Follow-up visits revealed success in the planned medical therapy. Conclusions. PAPVR is a rare congenital condition that may present during late adulthood. The initial predominant left-to-right shunting associated with this anomaly may go undetected for years with the gradual development of pulmonary hypertension and right heart failure due to right heart volume overload. Awareness of the condition is important, as therapy is time-sensitive with early detection potentially leading to surgical therapy as a viable option.

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Section: Discussionmentioning

confidence: 99%

Pulmonary Hypertension Secondary to Partial Anomalous Pulmonary Venous Return in an Elderly

Koester

Lee

2016

Case Reports in Cardiology

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“…These cases included patients with dual drainage of pulmonary veins to IVC and left atrium via a Scimitar Vein or to SVC and LA via a vertical vein. Occlusion was accomplished by using coil or Amplatzer vascular plugs [3][4][5][6]. We used a symmetric VSD occluder in our patient that based on the anatomy seemed to achieve complete occlusion.…”

Section: Discussionmentioning

confidence: 99%

Repair of Anomalous Pulmonary Venous Connection by Catheter Intervention

Saedi¹,

Saedi²

2017

Interv Cardiol J

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Transcatheter interventions for congenital heart anomalies are constantly improving. Although correction of anomalous pulmonary venous connection is routinely achieved through surgery, there are rare instances where the abnormal pulmonary vein has dual connections to both left atrium and the major systemic veins. Under these circumstances catheter based treatment might become a feasible option. We report a case of dual supply vertical vein connected to left upper pulmonary vein and innominate vein which was successfully obstructed by an occluder device leading to improvements in patient's condition.

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“…The operative technique depends on the number and the site of the anomalous vein or veins. Among several techniques, the Warden method or modified Warden method are usually used15).…”

Section: Discussionmentioning

confidence: 99%

Partial anomalous pulmonary venous connection with intact atrial septum in a child with ventricular septal defect: a case report

Kim

Cho

et al. 2012

Korean J Pediatr

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Partial anomalous pulmonary vein connection (PAPVC) is a rare congenital abnormal cardiac defect involving the pulmonary veins draining into the right atrium (RA) directly or indirectly by venous connection. Ninety percent of PAPVCs are accompanied by atrial septal defect (ASD). To our knowledge, there is no previous report of PAPVC with ventricular septal defect (VSD) without ASD in Korea, and in this paper, we report the first such case. A 2-day-old girl was admitted into the Chonnam National University Hospital for evaluation of a cardiac murmur. An echocardiogram revealed perimembranous VSD without ASD. She underwent patch closure of the VSD at 5 months of age. Although the VSD was completely closed, she had persistent cardiomegaly with right ventricular volume overload, as revealed by echocardiography. Three years later, cardiac catheterization and chest computed tomography revealed a PAPVC, with the right upper pulmonary vein draining into the right SVC. Therefore, correction of the PAPVC was surgically performed at 3 years of age. We conclude that it is important to suspect PAPVC in patients with right ventricular volume overload, but without ASD.

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Partially anomalous pulmonary venous connection: Demonstration of dual drainage allowing nonsurgical correction

Cited by 25 publications

References 12 publications

Pulmonary Hypertension Secondary to Partial Anomalous Pulmonary Venous Return in an Elderly

Pulmonary Hypertension Secondary to Partial Anomalous Pulmonary Venous Return in an Elderly

Repair of Anomalous Pulmonary Venous Connection by Catheter Intervention

Partial anomalous pulmonary venous connection with intact atrial septum in a child with ventricular septal defect: a case report

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