Isolated left-sided partial anomalous pulmonary venous connection in a child

Area of Science:

• Cardiology
• Pediatric Surgery
• Congenital Heart Disease

Background:

• Partial anomalous pulmonary venous connection (PAPVC) is a rare congenital heart defect.
• Isolated left-sided PAPVC with an intact interatrial septum is exceptionally rare, particularly in pediatric cases.
• Early surgical intervention is crucial to prevent long-term sequelae such as right ventricular failure and pulmonary vascular disease.

Observation:

• A 14-year-old girl presented with isolated left-sided PAPVC.
• The anomalous pulmonary venous drainage involved a vertical vein from the left upper pulmonary lobe connecting to the brachiocephalic vein and subsequently the right atrium.
• The interatrial septum was intact.

Findings:

• Successful surgical correction of the left-sided PAPVC was achieved.
• The procedure was performed using a minimally invasive approach.
• Cardiopulmonary bypass was not required for this surgical intervention.

Implications:

• Minimally invasive surgery without cardiopulmonary bypass is a viable and effective treatment for isolated left-sided PAPVC in pediatric patients.
• This approach can lead to improved patient outcomes and reduced recovery times.
• Early diagnosis and surgical management are essential for preventing progressive cardiac damage and ensuring a favorable long-term prognosis.