Transcatheter Treatment of Coarctation of Aorta and Dually Connected Anomalous Vertical Pulmonary Vein as a Combined Procedure
Journal Title: Biomedical Journal of Scientific & Technical Research (BJSTR) - Year 2019, Vol 19, Issue 5
Abstract
Partial anomalous pulmonary venous connection may be an isolated anomay but is usually associated with an atrial septal defect. We report a case in which this anomaly was associated with coarctation of aorta. Since the partially anomalous veins had dual connection with left atrium and innominate vein, we treated both the coarctation of aorta and the partial veinous connection by transcatheter technique as a combined procedure. Partial anomalous pulmonary venous connection (PAPVC) occurs due to failure of one or more pulmonary veins to connect with left atrium during fetal development. More frequent is presence of single anomalous pulmonary vein, an entity which can be missed clinically as well as on echocardiography [1]. PAPVC is frequently associated with atrial septal defects, and rarely with other congenital cardiac abnormalities [2]. We describe transcatheter treatment of the coarctation of aorta and occlusion of the dually connected partial anomalous pulmonary venous connection as a combined procedure without complications. Thirteen-year-old girl presented with headache and exertional dyspnea. She had diminished pulses in the lower limbs with an upper limb blood pressure of 155/85 mmHg. She had no stigmata of Turner’s syndrome. The precordium was heaving, first heart sound was loud, second heart sound widely split with a soft systolic murmur at the left upper sternal edge. With a suspicion of coarctation of aorta and atrial septal defect an echocardiogram was performed which showed a discrete juxta ductal coarctation of aorta, right ventricular enlargement and an anomalous left upper pulmonary vein to innominate vein
Authors and Affiliations
Atiq Mehnaz, Younis Muhammad Kamran, Amanullah Muneer
Keywords
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- EP ID EP623343
- DOI 10.26717/BJSTR.2019.19.003372
- Views 162
- Downloads 0
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