Partial anomalous return of four pulmonary veins with intact interatrial septum defect. A rare case report.
We report on the rare case of partial anomalous return of four pulmonary veins in the right atrium and superior vena cava with intact interatrial septum in a five-year-old child. There were few symptoms in contrast with the left ventricular output dependent on the flow of the left upper lobe vein and from the lingula. Reduced compliance to the left led to a severe picture of pulmonary venocapillary hypertension in the immediate postoperative period, mitigated by an 8-mm interatrial septal defect. The patient progressed well after the intervention.
Atik
Edmar
E
Instituto do Coração, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brasil. eatik@cardiol.br
Bhering
Maria Aparecida
MA
Assad
Renato Samy
RS
D054087:Atrial Septum / Q000000981:diagnostic imaging* / Q000601:surgery; D002675:Child, Preschool; D017548:Echocardiography, Transesophageal; D006344:Heart Septal Defects, Atrial / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D006976:Hypertension, Pulmonary / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D008297:Male; D011667:Pulmonary Veins / Q000002:abnormalities* / Q000601:surgery; D014683:Vena Cava, Superior / Q000002:abnormalities / Q000000981:diagnostic imaging