Successful transcatheter occlusion of an anomalous pulmonary vein with dual drainage to the left atrium.
We describe a case of a scimitar syndrome "variant" where dual drainage existed from the right upper and middle pulmonary veins to the inferior vena cava and left atrium. Device closure of the anomalous vein at the level of the connection to the IVC was successful in achieving diversion of pulmonary venous flow to the left atrium. Vigilance during work-up of anomalous pulmonary venous drainage (whether isolated or associated with other cardiac defects that may be amenable to device closure) is important to define the presence of dual connections to the left atrium, in which case a less-invasive transcatheter approach may be feasible.
Toronto Congenital Cardiac Centre for Adults, Toronto, Ontario, Canada.
W
W
Wilson
Toronto Congenital Cardiac Centre for Adults, Toronto, Ontario, Canada.
E
E
Horlick
Toronto Congenital Cardiac Centre for Adults, Toronto, Ontario, Canada.
L
L
Benson
D000328:Adult; D006328:Cardiac Catheterization / Q000295:instrumentation*; D017023:Coronary Angiography; D003326:Coronary Circulation; D005260:Female; D006325:Heart Atria / Q000002:abnormalities* / Q000503:physiopathology; D006801:Humans; D011474:Prosthesis Design; D019919:Prosthesis Implantation / Q000295:instrumentation; D011652:Pulmonary Circulation; D011667:Pulmonary Veins / Q000002:abnormalities* / Q000503:physiopathology; D012587:Scimitar Syndrome / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D016896:Treatment Outcome; D014682:Vena Cava, Inferior / Q000002:abnormalities / Q000503:physiopathology
device occlusion; dual drainage; partial anomalous pulmonary venous connection