Endograft repair of partially anomalous pulmonary venous connection with dual drainage.
A 73-year-old woman with dyspnea and fatigue was found to have a partially anomalous pulmonary venous connection with communication between the right upper lobe pulmonary vein and the superior vena cava, as well as a normal pulmonary vein confluence with the left atrium. She was successfully treated with an endograft implanted in the superior vena cava, covering the defect. The unique dual drainage of the pulmonary vein allowed percutaneous treatment of a condition that ordinarily requires complex caval and intracardiac reconstruction. Except for several episodes of arrhythmias, she has been doing well, with exercise tolerance improving from New York Heart Association class III at baseline to class I after treatment. Follow-up imaging and clinical findings at 36 months showed no migration of the stents and significant improvement of quality of life.
Peynircioglu
Bora
B
Department of Radiology, University of Michigan, Ann Arbor, Michigan 48109, USA.
Williams
David M
DM
Rubenfire
Melvyn
M
Dasika
Narasimham
N
Upchurch
Gilbert R
GR
Deeb
G Michael
GM
D000368:Aged; D000792:Angiography; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D015150:Echocardiography, Doppler; D005260:Female; D005500:Follow-Up Studies; D006325:Heart Atria / Q000002:abnormalities* / Q000601:surgery; D006330:Heart Defects, Congenital / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D011667:Pulmonary Veins / Q000002:abnormalities* / Q000601:surgery; D015607:Stents; D014057:Tomography, X-Ray Computed; D014683:Vena Cava, Superior / Q000601:surgery