title: Partial anomalous pulmonary venous connection with acquired valve disease.
abstract: We describe the rare case of a 76-year-old man with left partial anomalous pulmonary venous connection with intact atrial septum. He experienced dyspnea due to significant aortic stenosis and mitral regurgitation, and required valve repair. Preoperative computed tomography revealed connection of the left upper pulmonary vein to the innominate vein. Although right heart overload was not recognized, we repaired the left partial anomalous pulmonary venous connection with concomitant aortic valve replacement and mitral annuloplasty, because of the potential for unpredictable harmful effects of a residual left-to-right shunt. The patient recovered well with no signs of left upper lung congestion.
authors.affiliation: Department of Cardiovascular Surgery, JA Hiroshima General Hospital, Hiroshima, Japan cardiovascsurgeon@gmail.com.
authors.forename: Masaki
authors.initials: M
authors.lastname: Hamamoto
authors.affiliation: Department of Cardiovascular Surgery, JA Hiroshima General Hospital, Hiroshima, Japan.
authors.forename: Taira
authors.initials: T
authors.lastname: Kobayashi
authors.affiliation: Department of Cardiovascular Surgery, JA Hiroshima General Hospital, Hiroshima, Japan.
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Kodama
mesh_terms: D000368:Aged; D001024:Aortic Valve Stenosis / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D004417:Dyspnea / Q000209:etiology; D017548:Echocardiography, Transesophageal; D006330:Heart Defects, Congenital / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D058386:Mitral Valve Annuloplasty; D008944:Mitral Valve Insufficiency / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D011652:Pulmonary Circulation; D011667:Pulmonary Veins / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: Aortic valve stenosis; Cardiac surgical procedures; Heart defects; Pulmonary veins; Vascular surgical procedures; congenital