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A Rare Case of Partial Anomalous Pulmonary Venous Connection
Taishi Fujii1, Kai Machida1, Sakamoto Daisuke2
1Department of Cardiovascular Surgery, Kanazawa Medical University, Uchinada, JPN.
Partial anomalous pulmonary venous connection (PAPVC) is a rare heart defect. This case report details a successful surgical repair of PAPVC in an adult patient with prior atrial septal defect closure.
Area of Science:
- Cardiology
- Congenital Heart Disease
- Thoracic Surgery
Background:
- Partial anomalous pulmonary venous connection (PAPVC) is a rare congenital heart anomaly where pulmonary veins connect abnormally.
- Diagnosis can be challenging due to nonspecific symptoms, necessitating advanced imaging techniques.
Observation:
- A patient with a history of atrial septal defect (ASD) closure presented with chest tightness and palpitations.
- Multidetector computed tomography (MDCT) angiography revealed PAPVC, with both lower pulmonary veins draining into the coronary sinus (CS).
Findings:
- This is only the second reported case of PAPVC diagnosed in adulthood.
- Surgical repair was successfully performed using the cut-back method.
Implications:
- This case highlights the importance of considering PAPVC in adult patients with cardiac symptoms, even after prior cardiac surgery.
- Successful surgical intervention for PAPVC is achievable, even in complex cases.
- MDCT angiography is a valuable tool for diagnosing congenital cardiac anomalies like PAPVC.
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