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Updated: May 30, 2026

Catheter-based Endovascular Angioplasty for Fibrosing Mediastinitis-associated Pulmonary Vein Stenosis
Published on: August 26, 2025
Partial anomalous pulmonary venous return: transcatheter repair.
George Kasarala1, Andrew Fiore, Kenneth Schowengerdt
1Division of Cardiology, Department of Pediatrics, Cardinal Glennon Children's Medical Center, Saint Louis University School of Medicine, 1465 S. Grand Boulevard, St. Louis, MO 63104, USA.
Transcatheter intervention successfully treated partial anomalous pulmonary venous return in a young girl. This minimally invasive approach replaced surgery due to the patient's unique dual pulmonary venous drainage.
Area of Science:
- Cardiology
- Pediatric Cardiology
- Interventional Cardiology
Background:
- Partial anomalous pulmonary venous return (PAPVR) is a congenital heart defect where pulmonary veins do not connect normally to the left atrium.
- Surgical correction has been the traditional treatment for PAPVR, but it carries risks, especially in pediatric patients.
Observation:
- A case study involving a young white female with PAPVR is presented.
- The patient exhibited dual pulmonary venous drainage from the left lung, a key anatomical feature.
Findings:
- Transcatheter intervention was successfully employed as an alternative to surgical correction.
- The feasibility of the transcatheter approach was directly linked to the presence of dual pulmonary venous drainage, allowing for a less invasive treatment strategy.
Implications:
- Transcatheter intervention offers a viable, less invasive alternative to surgery for select pediatric PAPVR cases.
- This approach may improve patient outcomes and reduce recovery time for congenital heart defect treatment.
- Understanding unique venous drainage patterns is crucial for tailoring interventional cardiac procedures.
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