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Case Reports
. 2019 May-Aug;12(2):144-146.
doi: 10.4103/apc.APC_72_18.

Transcatheter occlusion of partial anomalous pulmonary venous connection with dual drainage to left atrium

Madhu Bangalore Gangadhara  1 , Alan G Magee  1
Affiliations
Case Reports

Transcatheter occlusion of partial anomalous pulmonary venous connection with dual drainage to left atrium

Madhu Bangalore Gangadhara et al. Ann Pediatr Cardiol. 2019 May-Aug.

Abstract

Transcatheter therapy for partial anomalous pulmonary venous connection with dual drainage is unique and rarely reported. We report a 69-year-old female with recurrent brain abscess and partial anomalous connection of the left upper pulmonary vein with dual drainage to the vertical vein (VV) and left atrium (LA). Transcatheter occlusion of the VV was done using an 18-mm St. Jude Amplatzer Vascular Plug II, thus redirecting the left-sided pulmonary venous drainage to LA. Careful evaluation of partial anomalous pulmonary venous drainage with cross-sectional imaging is essential to allow the delineation of dual connections, enabling a less invasive transcatheter treatment approach.

Keywords: Anomalous pulmonary venous connection; device occlusion; dual drainage.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Partial anomalous pulmonary vein connection with dual drainage. (a) Schematic diagram of partial anomalous pulmonary venous connection with dual drainage, (b) Angiogram: Preintervention. VV: Vertical vein, LUPV: Left upper pulmonary vein, LA: Left atrium, IT: Innominate trunk, PV: Pulmonary vein
Figure 2
Figure 2
Transcatheter intervention of partial anomalous pulmonary vein connection with dual drainage. (a) Vertical vein angiogram shows Amplatzer Vascular Plug II device in good position with no significant residual flow into the left atrium. (b) Computed tomography scan 1-year postdevice occlusion shows the device in good position and redirecting pulmonary venous flow to the left atrium
See this image and copyright information in PMC

References

    1. Ward KE, Mullins CE. Anomalous pulmonary venous connections, vein stenosis, and atresia of the common vein. In: Garson A, Bricker JT, Fisher DJ, Neish SR, editors. The Science and Practice of Pediatric Cardiology. Baltimore, Md: Williams and Wilkins; 1998. pp. 1431–61.
    1. Forbess LW, O’Laughlin MP, Harrison JK. Partially anomalous pulmonary venous connection: Demonstration of dual drainage allowing nonsurgical correction. Cathet Cardiovasc Diagn. 1998;44:330–5. - PubMed
    1. Dähnert I, Riede FT, Kostelka M. Partial anomalous pulmonary venous drainage of the left upper pulmonary vein – Catheter interventional treatment is sometimes possible. Clin Res Cardiol. 2007;96:511–3. - PubMed
    1. Gomez J, Soledispa C. Redirection of anomalous venous pulmonary flow to left atrium using a vascular plug II. J Invasive Cardiol. 2012;24:E96–8. - PubMed
    1. Recto MR, Sadlo H, Sobczyk WL. Rare case of persistent left superior vena cava to left upper pulmonary vein: Pathway for paradoxical embolization and development of transient ischemic attack and subsequent occlusion with an amplatzer vascular plug. J Invasive Cardiol. 2007;19:E313–6. - PubMed

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