A Case of Partial Anomalous Pulmonary Venous Return in an Adult Patient

Toshihiko Nishi＊

Takenori Yamazaki＊

（Department of Cardiovascular Surgery, Kainan Hospital＊, Yatomi, Japan）

Most cases of partial anomalous pulmonary venous return are associated with atrial septal defect. We however report a surgical case of partial anomalous pulmonary venous return that was diagnosed in an adult without atrial septal defect. The patient was a 44-year-old man who presented with hemoptysis. Computed tomography revealed an absent left pulmonary artery. We performed bronchial artery embolization. Partial anomalous pulmonary venous return（Qp/Qs 3.33）in which the right pulmonary vein returned to the superior vena cava and moderate aortic regurgitation were diagnosed by computed tomography and transthoracic echocardiography;this was an indication for surgery. Approximately 2 months after the emergency hospitalization due to hemoptysis, we performed a modified Warden procedure and aortic valve replacement. Postoperative computed tomography showed good reconstruction of the superior vena cava and right upper pulmonary vein. He was discharged on postoperative day 38.

 

Jpn. J. Cardiovasc. Surg. 50:248-251（2021）

Keywords：partial anomalous pulmonary venous return;adult congenital heart disease;Warden procedure;unilateral absence of pulmonary artery