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Rare association of two cardiovascular malformations successfully corrected in a single surgery: a case report
Fu-Yang Mei1, Zhi-Xuan Bai1, Zhi-Bin Hu1
1Department of cardiothoracic surgery, Zhejiang Provincial People's Hospital, Hangzhou, 310014, China.
Background:
Partial anomalous pulmonary venous connection (PAPVC) without an atrial septal defect (ASD) associated with coarctation of the aortic arch is a rare congenital cardiac anomaly. This rare combination is only described in a few studies; none report the correction of these two malformations in a single surgery.
Case Presentation:
A 5-year-old girl was admitted to our hospital because the echocardiography revealed coarctation of the aortic arch; this diagnosis was confirmed by computed tomography (CT), which also showed her left superior pulmonary vein draining into the vertical vein without ASD (Fig. 1). She exhibited no special clinical symptoms. Her upper-limb blood pressure was approximately 110/90 mmHg, whereas her lower-limb blood pressure was approximately 75/50 mmHg.
Conclusions:
We surgically repaired the case of PAPVC to the vertical vein with aortic coarctation, in which the two cardiovascular malformations were corrected in a single surgery without cardiopulmonary bypass.
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