Abstract

Primary left pulmonary vein stenosis is a very rare condition. It is associated with variable form of Pulmonary artery hypertension. Catheter based intervention is used to treat the disease like balloon dilation and stenting but this has high recurrence rate. Here is a case in which we did a sutureless repair of left pulmonary vein thus decreasing the possibility of recurrence. Sutureless surgical management is technically superior and less challenging than direct left atrial wall anastomosis and it provides better results than catheter based intervention in terms of recurrence of stenosis.

Highlights

  • Primary Pulmonary vein stenosis (PVS) occurs due to developmental aberrations in the incorporation of pulmonary veins into left atrial wall

  • Is a case in which we did a sutureless repair of left pulmonary vein decreasing the possibility of recurrence

  • We present a case, who underwent surgical sutureless repair for left side primary pulmonary vein (LSPV) stenosis and had an uneventful post operative recovery with no residual stenosis

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Summary

Introduction

Primary Pulmonary vein stenosis (PVS) occurs due to developmental aberrations in the incorporation of pulmonary veins into left atrial wall. It is a very rare anomaly and is present in 0.5% of autopsy in children. It may manifest as isolated lesion or associated with other cardiac defects (more than 50% of cases). We present a case, who underwent surgical sutureless repair for left side primary pulmonary vein (LSPV) stenosis and had an uneventful post operative recovery with no residual stenosis

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