Transseptal stent treatment of anastomotic stricture after repair of partial anomalous pulmonary venous return.
OBJECTIVE
To report the endovascular treatment of a stenosis of the pulmonary venous anastomosis following surgical treatment for partial anomalous pulmonary venous return.


METHODS
A 60-year-old man presented with recurrent pleural effusions after correction of a partial anomalous left pulmonary venous return. Magnetic resonance imaging demonstrated focal stenosis at the anastomosis of the anomalous pulmonary vein to the left atrial appendage. Using a transseptal approach, the pulmonary vein stenosis was accessed and successfully stented. The patient's symptoms improved, and follow-up imaging demonstrated a patent stent without residual pressure gradient.


CONCLUSIONS
Endovascular repair of a stenosis at the anastomosis of an anomalous pulmonary vein is possible and should be considered as a treatment option for this lesion.
Dieter
Robert S
RS
Department of Medicine, University of Wisconsin Hospitals and Clinics, Madison, Wisconsin 53792, USA.
Nelson
Brian
B
Wolff
Mathew R
MR
Thornton
Frank
F
Grist
Thomas M
TM
Cohen
Daniel M
DM
D000714:Anastomosis, Surgical / Q000009:adverse effects*; D006801:Humans; D018810:Magnetic Resonance Angiography; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D010490:Pericardial Effusion / Q000209:etiology; D011183:Postoperative Complications / Q000628:therapy*; D011667:Pulmonary Veins / Q000002:abnormalities* / Q000601:surgery*; D015607:Stents; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography