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Updated: Mar 31, 2026

Left Atrial Stenosis Induced Pulmonary Venous Arterialization and Group 2 Pulmonary Hypertension in Rat
Published on: November 18, 2018
Levoatriocardinal vein and partial anomalous pulmonary vein drainage in left-sided obstructive CHDs: diagnostic and
Davide Marini1, Gabriella Agnoletti1, Carlo Pace Napoleone2
11Department of Cardiology,Città della Salute e della Scienza,Turin,Italy.
Insights
This study highlights a rare association of levoatriocardinal vein and partial anomalous pulmonary venous drainage with left-sided obstructive lesions. Advanced imaging like CT and MRI are vital for accurate diagnosis and treatment planning.
Area of Science:
- Cardiology
- Medical Imaging
- Congenital Heart Disease
Background:
- Congenital heart disease presents complex anatomical variations.
- Levoatriocardinal vein (LACV) and partial anomalous pulmonary venous drainage (PAPVD) are rare cardiac anomalies.
- Left-sided obstructive lesions can complicate diagnosis and management.
Observation:
- Two cases presented with concurrent levoatriocardinal vein and partial anomalous pulmonary venous drainage.
- These anomalies were associated with left-sided obstructive cardiac lesions.
- Echocardiography posed challenges in recognizing this specific combination.
Findings:
- Cardiac computed tomography (CT) and magnetic resonance imaging (MRI) proved essential for definitive diagnosis.
- Detailed imaging delineated the complex venous anatomy and obstructive lesions.
- Accurate diagnosis facilitated tailored therapeutic strategies.
Implications:
- Recognizing this rare association is critical for appropriate patient care.
- Advanced cardiac imaging modalities (CT/MRI) are indispensable for diagnosis.
- Early and accurate diagnosis impacts the selection of optimal treatment for complex congenital heart disease.
Abstract:
We report two cases with levoatriocardinal vein and partial anomalous pulmonary venous drainage in left-sided obstructive lesions. This association may be difficult to recognise by echocardiography. Cardiac CT and MRI were crucial to define the diagnosis and to tailor the best therapeutic option.
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