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Submitted: 16 May 2007 Modified: 18 July 2017
HERDIN Record #: PCHRDPC011190

Case report: Partial anomalous pulmonary venous return with an intact atrial septum.

Patricia J. Agunod ,
Bun Y. Dy ,
Christopher Cheng G. Dy ,
Crisostomo San Jose ,
Alina Macawaris

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Partial anomalous pulmonary venous return(PAPVR) occurs in fewer than 1% of congenital heart diseases. PAPVR of the right lung is usually associated with an atrial septal defect (ASD); an intact atrial septum is exceptional. This case report concerns a 28 year-old female with PAPVR with an intact atrial septum. Clinical diagnostic and pathophysiologic features of the patient are presented. She had clinical features of ASD and RVH. However, no negative contrast effect was demonstrated on echocardiography. Hemodynamic studies revealed PAPVR of the right upper and right lower pulmonary veins to the superior vena cava, with a Qp: Qs of 2.04:1, and an intact atrial septum. Surgical correction was done, and the PAPVR constitutes a distinct clinical entity, its clinical diagnosis may be difficult. PAPVR has to be considered in patients with clinical findings of atrial septal defect, but no ASD demonstrable by echocardiography. For diagnosis and precise localization of the lesion, cardiac catheterization has to be done.

Publication Type
Journal
Publication Sub Type
Journal Article, Original
Title
Philippine Journal of Cardiology
Frequency
Quarterly
Publication Date
July-September 1999
Volume
27
Issue
3
Page(s)
75-78
LocationLocation CodeAvailable FormatAvailability
Philippine Council for Health Research and Development Library Box No. 44 Fulltext Print Format (Request Document)
Philippine Council for Health Research and Development Library Fulltext pdf (Request Document)
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