An Anatomic Survey of Anomalous Pulmonary Veins: Their Clinical Significance

Healey, John E.

doi:10.1016/s0096-5588(20)31117-x

Cited by 227 publications

(55 citation statements)

References 7 publications

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“…Surgical repair using CPB can be a concern as high flow through the VGAM can decrease flow to the cerebral capillary bed. 1,7 However, the risk of CPB with a large cerebral arteriovenous malformation has not been clearly delineated. Ahmad et al reported the case of a patient who underwent SVD repair utilizing CPB prior to VGAM embolization.…”

Section: Discussionmentioning

confidence: 99%

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Repair of Sinus Venosus Defect and Anomalous Pulmonary Veins Associated With Vein of Galen Malformation

Anderson

Said

Cetta

2018

World J Pediatr Congenit Heart Surg

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Sinus venosus defect (SVD) is a deficiency in the sinus venosus portion of the atrium, often associated with partial anomalous pulmonary venous connections. In patients with vein of Galen malformation (VGAM), SVD provides a unique challenge with respect to embolization treatment. In our case, the child had percutaneous device closure of the SVD prior to VGAM embolization. Nine years later, he required surgical removal of the SVD device and Warden procedure due to progressive right-sided cardiac enlargement.

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Section: Discussionmentioning

confidence: 99%

“…It is often associated with partial anomalous pulmonary venous connection (PAPVC) of one or more of the right-sided pulmonary veins. 1 Although this defect is rare, it is one of the most common congenital defects associated with vein of Galen malformation (VGAM), a rare cerebral arteriovenous malformation. 2…”

Section: Introductionmentioning

confidence: 99%

Repair of Sinus Venosus Defect and Anomalous Pulmonary Veins Associated With Vein of Galen Malformation

Anderson

Said

Cetta

2018

World J Pediatr Congenit Heart Surg

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“…It then joins the splanchnic venous plexus in the lung buds. If any or all of the pulmonary veins fail to connect to the left atrium, it will eventually divert the blood directly or indirectly to the right atrium [ 1 , 6 ]. Figure 3 shows a schematic view of left upper partial anomalous pulmonary venous return (PAPVR).…”

Section: Discussionmentioning

confidence: 99%

“…Partial anomalous pulmonary venous return (PAPVR) is a rare congenital anomaly that occurs during embryologic development when at least one pulmonary vein fails to communicate with the left atrium; instead, it drains directly or indirectly in the right atrium. It remains asymptomatic most of the time and is discovered incidentally or postmortem [ 1 ]. There have been few reports in literature of PAPVR discovered after central venous line (CVL) insertion.…”

Section: Introductionmentioning

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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“…Imaging studies contend that PAPVR exists in about 0.1–0.2% in the general adult population [ 4 ]. However, an autopsy series found that PAPVR is found in 0.4% of cases [ 5 ]. In contrast to symptomatic pediatric cases, adults with undiagnosed PAPVR have a silent clinical course or mild symptoms.…”

Section: Introductionmentioning

confidence: 99%

Partial anomalous pulmonary venous return after orthotopic heart transplantation case report

Armas

Patel

Akkanti

et al. 2021

BMC Cardiovasc Disord

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Background Partial anomalous pulmonary venous return (PAPVR) is a congenital heart defect. Reports of repair and treatment in pediatric cases have been published, but incidence of PAPVR in adults is not common. To our knowledge, there has not been a diagnosis of left-sided PAPVR after a heart transplant an in adult patient. Case presentation A 62-year-old patient with ischemic cardiomyopathy and systolic heart failure underwent orthotopic heart transplantation. The immediate post-operative course was remarkable for an elevated cardiac index and pulmonary artery pressures as well as decreased systemic vascular resistance. The post-operative echocardiogram did not reveal an intra-cardiac shunt. However, computed tomographic angiography (CTA) showed a left superior pulmonary vein draining into the innominate vein. Operative repair of the left superior pulmonary venous connection to the left atrial appendage was completed under cardiopulmonary bypass with beating heart. Her hemodynamics improved immediately, and she had an unremarkable postoperative course. Conclusions While uncommon, any patient with a high cardiac output and abnormal hemodynamics after heart transplant should be evaluated for the existence of a shunt. While not a part of all traditional preoperative imaging protocols, a chest CTA should be considered if PAPVR is suspected as it can both diagnose the condition and enable a plot of the corrective course of surgical action.

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An Anatomic Survey of Anomalous Pulmonary Veins: Their Clinical Significance

Cited by 227 publications

References 7 publications

Repair of Sinus Venosus Defect and Anomalous Pulmonary Veins Associated With Vein of Galen Malformation

Repair of Sinus Venosus Defect and Anomalous Pulmonary Veins Associated With Vein of Galen Malformation

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

Partial anomalous pulmonary venous return after orthotopic heart transplantation case report

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