Partial Anomalous Pulmonary Venous Connection With Intact Atrial Septum: Early and Midterm Outcomes

Unusual Doppler in Pulmonary Veins Leads to the Diagnosis of Unusual Partial Anomalous Pulmonary Venous Return with Dual Connections

“…PAPVR is a rare congenital abnormality, consisting of abnormal blood return from one or more pulmonary veins to the right atrium. It often occurs with other cardiac abnormalities [2]. Clinical presentation often varies depending on the degree of shunting and other associated cardiac or pulmonary abnormalities.…”

“…Color flow mapping and Doppler methods are all helpful tools when evaluating potential anomalous connections. PAPVR should be considered in situations where SVC, innominate vein or IVC appear dilated, as well as isolated right sided enlargement [2]. In this paper, we report an unusual case of PAPVR in a patient with new onset, decompensated heart failure and right sided enlargement.…”

Minimally Invasive Surgical Repair of Left- Sided Partial Anomalous Pulmonary Venous Connection: A Case Report

“…There is no evidence that minimally invasive approach has an impact on postoperative complications including atrial fibrillation, complete heart block or pulmonary venous obstruction [10]. Nowadays, the robotic assistance with minimally invasive approach is an option; its added value is not demonstrated so far [11]. The enlargement of the anastomosis with pericardium patch and the importance of gradient free anastomosis must be emphasized; Intraoperative echocardiography and measurement of anastomotic gradients are mandatory with anastomosis taken down and reconstructed in gradient greater than 4 mm Hg.…”

Surgical repair of partial anomalous pulmonary venous connection in adulthood: A 4-dimensional flow magnetic resonance imaging postoperative evaluation

“…Partial anomalous pulmonary venous connection (PAPVC) is an uncommon congenital anomaly encountered in 0.4% to 0.7% of autopsies. 1 The anomaly usually is associated with atrial septal defect (ASD) of a sinus venous type, rarely with an intact atrial septum (IAS), or with other cardiac diseases. 1 , 2 We present a case of surgical correction of an adult patient affected by PAPVC with IAS and severe mitral valve prolapse (MVP).…”

“… 1 The anomaly usually is associated with atrial septal defect (ASD) of a sinus venous type, rarely with an intact atrial septum (IAS), or with other cardiac diseases. 1 , 2 We present a case of surgical correction of an adult patient affected by PAPVC with IAS and severe mitral valve prolapse (MVP). Postoperative 4-dimensional (4-D) flow cardiac magnetic resonance (CMR) was performed to assess the status of PAPVC correction.…”