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Unilateral pulmonary vein stenosis with atrial septal defect: report of one case
1Department of Pediatrics, National Taiwan University Hospital, Taipei, R.O.C.
Insights
Surgical repair of left pulmonary vein stenosis and atrial septal defect in an infant successfully resolved recurrent infections and obstruction. Long-term follow-up confirmed no residual cardiopulmonary symptoms after the successful intervention.
Area of Science:
- Cardiology
- Pediatric Surgery
- Thoracic Surgery
Background:
- Congenital heart defects, specifically pulmonary vein stenosis and atrial septal defects, can lead to severe cardiopulmonary complications in infants.
- Recurrent pulmonary infections and poor treatment response in infants may indicate underlying structural heart abnormalities.
Abstract:
A male infant with stenosis of the left pulmonary veins and atrial septal defect is reported. He began to have repeated pulmonary infections, with poor response to medical treatment, when he was 6 months old. Localized stenosis of the left upper and lower pulmonary veins were diagnosed with cardiac catheterization at the age of 7 months. Transvenous balloon dilation was attempted, but failed. Surgical treatment with pericardial patch venoplasty of the left pulmonary veins and closure of the atrial septal defect successfully released the pulmonary venous obstruction. There has been a follow-up for more than one year, and no cardiopulmonary symptoms were reported.