Look before you close: atrial septal defect with undiagnosed partial anomalous pulmonary venous return.
The growing and continued success of percutaneous closure of atrial defects is related to its high benefit-to-risk ratio in appropriately selected patients. The following case illustrates a previously undocumented danger, namely, the potential for incomplete correction. A thorough transesophageal examination performed at the time of the planned atrial defect closure suggested the presence of a partial anomalous pulmonary vein insertion, which was then appropriately documented and the incomplete closure was averted.
Cragun
David T
DT
University of Arizona Sarver Heart Center, University of Arizona, Tucson, Arizona, USA.
Lax
Daniela
D
Butman
Samuel M
SM
D000015:Abnormalities, Multiple; D000328:Adult; D000792:Angiography; D006328:Cardiac Catheterization; D006348:Cardiac Surgical Procedures; D003937:Diagnosis, Differential; D017548:Echocardiography, Transesophageal; D005260:Female; D005500:Follow-Up Studies; D006344:Heart Septal Defects, Atrial / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D011667:Pulmonary Veins / Q000002:abnormalities*; D011668:Pulmonary Veno-Occlusive Disease / Q000151:congenital / Q000175:diagnosis* / Q000601:surgery