[A rare cause of exertional dyspnea in a 63-year-old woman].
METHODS
A 63-year-old woman was referred because of excertional dyspnea, pulmonary artery hypertension and right heart dilatation without evidence of pulmonary embolism.


METHODS
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.


METHODS
After surgical repair the hemodynamic changes normalized. The patient is doing well 12 weeks after surgery.


CONCLUSIONS
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.
Klinik für Innere Medizin III / Kardiologie, Schwarzwald-Baar Klinikum Villingen-Schwenningen GmbH, Vöhrenbacher Strasse 23, 78050 VS-Villingen. Tomislav.Miljak@sbk-vs.de
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T
Miljak
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R
Birkemeyer
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W
Jung
D006328:Cardiac Catheterization; D003937:Diagnosis, Differential; D004417:Dyspnea / Q000209:etiology*; D004452:Echocardiography; D004562:Electrocardiography; D005260:Female; D006344:Heart Septal Defects, Atrial / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D006937:Hypercholesterolemia / Q000175:diagnosis; D006976:Hypertension, Pulmonary / Q000209:etiology; D017380:Hypertrophy, Right Ventricular / Q000209:etiology; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D005082:Physical Exertion; D011667:Pulmonary Veins / Q000002:abnormalities* / Q000601:surgery