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Warden Procedure in a 77-Year-Old Man.
Kali A Hopkins1, Mark O Farber2, Rajeev Singh3
1Department of Medicine, Indiana University School of Medicine, Indianapolis, Indiana; Department of Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana.
The Annals of Thoracic Surgery
|March 30, 2019
Summary
Partial anomalous pulmonary venous return, a rare heart defect, can cause right-sided overload. A 77-year-old patient showed rapid improvement after the Warden procedure for this condition.
Area of Science:
- Cardiology
- Congenital Heart Disease
- Adult Congenital Heart Surgery
Background:
- Partial anomalous pulmonary venous return (PAPVR) is a rare congenital heart defect where pulmonary veins connect abnormally.
- This defect leads to a left-to-right shunt, potentially causing right-sided volume overload and complications over time.
Observation:
- A case study of an elderly patient with isolated partial anomalous pulmonary venous return.
- The patient underwent the Warden procedure at 77 years of age.
Findings:
- The Warden procedure resulted in rapid improvement in right ventricular size.
- Significant enhancement in right ventricular function was observed post-procedure.
Implications:
- This case highlights the efficacy of surgical intervention, like the Warden procedure, in adult patients with partial anomalous pulmonary venous return.
- It suggests that timely surgical correction can effectively manage right-sided volume overload and improve cardiac function in older individuals.
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