Partial Pulmonary Venous Return Research Articles

Does Transcatheter Therapy Replace Surgery? Transcatheter Closure of Sinus Venosus Atrial Septal Defect and Partial Pulmonary Venous Return.

Does Transcatheter Therapy Replace Surgery? Transcatheter Closure of Sinus Venosus Atrial Septal Defect and Partial Pulmonary Venous Return.

Multi-modality Imaging of Persistent Left Superior Vena Cava in Patients with Sinus Venosus Type of Atrial Septal Defect and Partial Pulmonary Venous Return

Multi-modality Imaging of Persistent Left Superior Vena Cava in Patients with Sinus Venosus Type of Atrial Septal Defect and Partial Pulmonary Venous Return

Robotic repair of atrial septal defect with partial pulmonary venous return anomaly: Our 5year experience.

Partial pulmonary venous return anomalies (PPVRA) were not considered as a good candidate for robotic surgery in early time of robotic cardiac surgery. In this study, we present our experience in patients undergoing robotic atrial septal defect (ASD) and PPVRA surgery. Between November 2014 and January 2020, data of 21 patients underwent robotic ASD with PPVRA was collected. Inclusion criterion was presence of right-sided PPVRA with ASD. All operations were performed robotically. The mean age of patients was 26.7±10.3years. Seventeen patients (81%) had superior-caval ASD with supracardiac PPVRA and double-patch technique was used. Four patients had inferior-caval ASD with intracardiac PPVRA and single-patch technique was preferred. Cross-clamp time and cardiopulmonary bypass time were 92.8±29.6 and 127.8±38.1, respectively. There was no mortality. One patient had atrioventricular-block and required pacemaker. Robotic repair of ASD with PPVRA is feasible and effective method as an alternative to conventional surgery.

Determination of anomalous pulmonary venous return with high-pitch low-dose computed tomography in paediatric patients.

In this study, we aimed to image pulmonary venous return anomalies and associated cardiovascular and pulmonary abnormalities by high-pitch low-dose computed tomography (CT) in children. Forty-one patients with total or partial anomalous pulmonary venous return anomalous between May 2012 and June 2019 were retrospectively reviewed. The anomalies were determined using high-pitch low-dose CT. The patients' mean age was 3 years (6 months to 15 years), and 24 of them were female. There were 10 patients with total pulmonary venous return anomalies (TPVRA) and 31 patients with partial pulmonary venous return anomalies (PPVRA). Six (60%) patients with TPVRA had the supracardiac type, 2 (20%) had the cardiac type, and 2 (20%) had the mixed type. All patients with TPVRA had a large atrial septal defect (ASD), 1 patient also had patent ductus arteriosus, and 1 patient had right cardiac hypertrophy. Forty cases of PPVRA were found in 31 patients. Twenty-seven (67%) of them were right-sided, and 13 were left-sided (33%). Twenty (65%) patients also had an additional cardiovascular anomaly (ASD in 12 patients, persistent superior vena cava in 4 patients, patent ductus arteriosus in 3 patients, and aortic coarctation in 2 patients). Of the 27 patients with right-sided PPVRA, it drained into the superior vena cava in 19 patients, the right atrium in 5 patients, and the inferior vena cava in 3 patients. In left-sided cases, the anomalous pulmonary vein drained into the left innominate vein in 9 patients, and in 4 patients, there were accessory pulmonary veins that drained into the left innominate vein. Many of the patients had additional lung anomalies, including pneumonic infiltration (n = 12), atelectasis (n = 8), and lobar emphysema (n = 5), and some of these findings coexisted. Anomalous pulmonary venous drains and associated cardiac and extra-cardiac anomalies can be detected reliably and quickly with high-pitch low-dose CT without sedation in paediatric patients.

Galen vein aneurysm in a newborn case with sinus venosus atrial septal defect and partial pulmonary venous return anomaly who had developed findings compatible with congestive heart failure

Galen vein aneurysm in a newborn case with sinus venosus atrial septal defect and partial pulmonary venous return anomaly who had developed findings compatible with congestive heart failure

PP-246 Quadricuspit Aortic Valve with Partial Pulmonary Venous Return Anomaly and Atrial Septal Defect

A 55-year-old man was admitted to the hospital because of palpitations and progressive dyspnea in the last 10 days. Electrocardiogram showed atrial flutter (120-130 beats/min). Transthorasic echocardiography demonstrated normal left ventricular function, mild aortic regurgitation, a volume–loaded right ventricle, mild tricuspid regurgitation, moderate pulmonary artery hypertension and suspected shunt across the atrial septum in colour flow Doppler in apical four chamber view. Transesophageal echocardiography delineated sinus venousus atrial septal defect (Figure A ), patent foramen ovale and quadricuspid aortic valve with mild aortic regurgitation (Figure B).

Seltene Ursache einer Belastungsdyspnoe bei einer 63-jährigen Patientin

A 63-year-old woman was referred because of excertional dyspnea, pulmonary artery hypertension and right heart dilatation without evidence of pulmonary embolism. Echocardiography, magnetic resonance tomography and right heart catheterisation revealed a left to right shunt through an sinus venosus defect and partial anomalous pulmonary venous return. After surgical repair the hemodynamic changes normalized. The patient is doing well 12 weeks after surgery. Congenital heart disease should be considered as a rare cause of exertional dyspnea in the elderly. Before percutaneous interventional closure of atrial septal defects, concomitant anomalous partial pulmonary venous return should be ruled out.