SURGICAL CORRECTION OF PARTIAL ANOMALOUS PULMONARY VENOUS CONNECTION TO THE INNOMINATE VEIN AND THE SUPERIOR VENA CAVA A CASE REPORT AND LITERATURE REVIEW

Hồng Quân Lê1, , Hữu Ước Nguyễn1,2, Lê Vinh Nguyễn1, Ngọc Dự Nguyễn1, Văn Trung Hoàng1, Việt Long Phạm1
1 Bệnh viện Đa khoa Tâm Anh
2 Đại học Y Hà Nội

Main Article Content

Abstract

Objectives: To present a clinical case of partial anomalous pulmonary venous connection and discuss diagnosis, management, and review of the literature.


Methods: We report a case of a patient with PAPVC from the left upper pulmonary vein to the left innominate vein and from the right upper pulmonary vein to the superior vena cava. The patient was diagnosed and surgically treated at the Department of Cardiovascular and Thoracic Surgery, Tam Anh General Hospital (Hanoi).


Results: A 50-year-old male patient was admitted with chest pain and exertional fatigue. Diagnostic imaging modalities, including transthoracic echocardiography, computed tomography angiography (CTA), cardiovascular magnetic resonance revealed:


* The left upper pulmonary vein to the left innominate vein


* The right upper pulmonary vein to the superior vena cava


The patient underwent complete surgical repair with redirection of the left upper pulmonary venous return to the left atrial appendage and a modified Warden procedure. Recovery and the postoperative course were uneventful, and the patient was discharged in a stable condition


Conclusions: Partial anomalous pulmonary venous connection is a rare congenital cardiac defect of uncertain etiology. Early diagnosis and prompt surgical intervention are critical for improving prognosis and favorable postoperative outcomes.

Article Details

References

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