Atypical Abnormal Pulmonary Vein Drainage with Atrial Septal Defect: Surgical Treatment |
| |
| Authors: | Wojciech Szychta MD PhD Gheorghe Cerin MD PhD FESC Bogdan Adrian Popa MD Armienti Felice MD Guido Lanzillo MD PhD Marco Diena MD Grzegorz Opolski MD PhD FESC |
| |
| Institution: | 1. 1st Chair and Department of Cardiology, Medical University of Warsaw, Warsaw, Poland;2. Cardiology Division in Cardiac Surgery Dept, Policlinic of Monza, San Gaudenzio Clinic, Novara, Italy;3. Department of Radiology, Policlinic of Monza, San Gaudenzio Clinic, Novara, Italy;4. Departments of Cardiac Surgery, Policlinic of Monza, San Gaudenzio Clinic, Novara, Italy |
| |
| Abstract: | Sinus venosus atrial septal defect (SV‐ASD) usually coexists with partial anomalous pulmonary vein connection (PAPVC). It is a difficult diagnosis in transthoracic echocardiography (TTE) due to eccentric position of defects. We present a rare case of atypical anatomical variation in PAPVC, which was never described before. Two right pulmonary veins drained into superior vena cava, which overrode SV‐ASD and interatrial septum, a third pulmonary vein into the right atrium. Complete diagnosis could not be set after TTE, nor transesophageal echocardiography, whereas angio‐CT was finally conclusive. This diagnostic approach allowed the surgical planning. |
| |
| Keywords: | septal defects pulmonary arteries/veins pulmonary vascular resistance/hypertension echocardiography Computed tomography |
|
|
