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Related Experiment Video

Updated: Jul 7, 2026

Three-Dimensional Echocardiographic Method for the Visualization and Assessment of Specific Parameters of the Pulmonary Veins

Three-Dimensional Echocardiographic Method for the Visualization and Assessment of Specific Parameters of the Pulmonary Veins

Published on: October 28, 2020

Left-sided partial anomalous pulmonary venous connections.

Andrew W ElBardissi¹, Joseph A Dearani, Rakesh M Suri

¹Harvard School of Public Health, Boston, Massachusetts, USA.

The Annals of Thoracic Surgery

|February 23, 2008

Summary

Surgical repair of left-sided partial anomalous pulmonary venous connection (PAPVC) is safe and effective, leading to improved right ventricular function and reduced pulmonary vascular disease. Early intervention is recommended for patients with specific indicators of severity.

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Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery (ALCAPA)

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Published on: April 24, 2017

Area of Science:

Cardiology
Congenital Heart Defects
Thoracic Surgery

Background:

Left-sided partial anomalous pulmonary venous connection (PAPVC) is a rare congenital heart defect.
Untreated PAPVC can lead to severe right ventricular failure and pulmonary vascular disease.

Purpose of the Study:

To evaluate the effectiveness and long-term outcomes of surgical correction for left-sided PAPVC.
To identify factors influencing surgical outcomes in PAPVC patients.

Main Methods:

Retrospective analysis of 376 PAPVC patients, with 27 undergoing repair for left-sided PAPVC.
Comparison of minimally invasive approach (13 patients) versus median sternotomy with cardiopulmonary bypass (CPB) (14 patients).

Main Results:

No early or late deaths occurred. Patients showed improved right ventricular systolic pressure (RVSP) and tricuspid regurgitation (TR) post-surgery.
Minimally invasive, off-pump correction was associated with younger patients and later surgical experience.
Higher grades of TR correlated with pulmonary vascular disease at follow-up.

Conclusions:

Surgical repair of left-sided PAPVC is associated with low morbidity and successful outcomes.
Patients with right-sided chamber enlargement, TR, or symptoms warrant surgical intervention.