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Isolated pulmonary vein atresia
S Cullen1, P F Deasy, E Tempany
1Department of Paediatric Cardiology, Our Lady's Hospital for Sick Children, Dublin, Ireland.
Insights
Isolated atresia of the pulmonary veins is rare. This case study details two pediatric patients, one with hemoptysis and another with chest infections, highlighting diagnostic methods and patient outcomes.
Area of Science:
- Cardiology
- Pediatric Pulmonology
- Medical Imaging
Background:
- Isolated atresia of the pulmonary veins (IAPV) is a rare congenital anomaly.
- Pulmonary vein atresia can lead to significant cardiopulmonary complications.
Observation:
- Two pediatric cases of IAPV are presented.
- One patient exhibited hemoptysis, a rare presenting symptom.
- The second patient experienced recurrent unilateral chest infections.
Findings:
- Diagnosis was confirmed using cardiac catheterization and pulmonary angiography.
- One patient expired within one year of diagnosis.
- The second patient remained clinically stable over a three-year follow-up period.
Implications:
- This condition requires early and accurate diagnosis for appropriate management.
- Long-term outcomes for IAPV can be variable.
- Further research is needed to understand the full spectrum of IAPV and optimize treatment strategies.
Abstract:
Two patients with isolated atresia of the pulmonary veins are described. One patient presented with haemoptysis and the other with recurrent unilateral chest infections. The diagnosis was confirmed in both instances by cardiac catheterisation and pulmonary angiography. One patient died one year after the diagnosis was made and the second child has been stable during a follow up period of three years.