Transcatheter therapy of partial anomalous pulmonary venous connection with dual drainage and coarctation of the aorta in a single patient

Abstract

A 12-year-old boy was found to have aortic coarctation and a partial anomalous pulmonary venous connection. Historically, multiple cardiac pathologies, such as in the present case, required a surgical approach. We describe transcatheter treatment of the coarctation with a stent and occlusion of the partial anomalous pulmonary venous connection with an Amplatzer vascular plug in a single patient without complications.

Surgical treatment of partial anomalous pulmonary venous connection misdiagnosed as atrial septal defect underwent transcatheter occlusion: A case report

“…Occasionally, the existence of a dual drainage connecting the PAPVC to the left atrium has been reported. 3‐9 In such patients, transcatheter therapy may be an alternative to surgery. However, surgical repair is recommended for patients with PAPVC when functional capacity is impaired and RV enlargement is present, there is a net left‐to‐right shunt sufficiently large to cause physiological sequelae, PA systolic pressure is less than 50% systemic pressure, and pulmonary vascular resistance is less than one third of systemic resistance 10 …”