Browse > Article
http://dx.doi.org/10.3345/kjp.2012.55.1.24

Partial anomalous pulmonary venous connection with intact atrial septum in a child with ventricular septal defect: a case report  

Kim, Young-Nam (Department of Pediatrics, Chonnam National University Hospital, Chonnam National University Medical School)
Cho, Hwa-Jin (Department of Pediatrics, Chonnam National University Hospital, Chonnam National University Medical School)
Cho, Young-Kuk (Department of Pediatrics, Chonnam National University Hospital, Chonnam National University Medical School)
Ma, Jae-Sook (Department of Pediatrics, Chonnam National University Hospital, Chonnam National University Medical School)
Publication Information
Clinical and Experimental Pediatrics / v.55, no.1, 2012 , pp. 24-28 More about this Journal
Abstract
Partial anomalous pulmonary vein connection (PAPVC) is a rare congenital abnormal cardiac defect involving the pulmonary veins draining into the right atrium (RA) directly or indirectly by venous connection. Ninety percent of PAPVCs are accompanied by atrial septal defect (ASD). To our knowledge, there is no previous report of PAPVC with ventricular septal defect (VSD) without ASD in Korea, and in this paper, we report the first such case. A 2-day-old girl was admitted into the Chonnam National University Hospital for evaluation of a cardiac murmur. An echocardiogram revealed perimembranous VSD without ASD. She underwent patch closure of the VSD at 5 months of age. Although the VSD was completely closed, she had persistent cardiomegaly with right ventricular volume overload, as revealed by echocardiography. Three years later, cardiac catheterization and chest computed tomography revealed a PAPVC, with the right upper pulmonary vein draining into the right SVC. Therefore, correction of the PAPVC was surgically performed at 3 years of age. We conclude that it is important to suspect PAPVC in patients with right ventricular volume overload, but without ASD.
Keywords
Partial anomalous pulmonary venous connection; Ventricular heart septal defect; Atrial heart septal defect;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Respondek-Liberska M, Janiak K, Moll J, Ostrowska K, Czichos E. Prenatal diagnosis of partial anomalous pulmonary venous connection by detection of dilatation of superior vena cava in hypoplastic left heart. A case report. Fetal Diagn Ther 2002;17:298-301.
2 Lilje C, Weiss F, Weil J. Detection of partial anomalous pulmonary venous connection by magnetic resonance imaging. Pediatr Cardiol 2005; 26:490-1.
3 Iwasa T, Mitani Y, Sawada H, Takabayashi S, Shimpo H, Matsubayashi N, et al. Persistent lung shadow in an infant with ventricular septal defect and partial anomalous pulmonary venous connection associated with pulmonary venous obstruction. Pediatr Int 2008;50:397-9.
4 Coulson JD, Bullaboy CA. Concentric placement of stents to relieve an obstructed anomalous pulmonary venous connection. Cathet Cardiovasc Diagn 1997;42:201-4.
5 Takamori S, Hayashi A, Nagamatsu Y, Tayama K, Kakegawa T. Left partial anomalous pulmonary venous connection found during a lobectomy for lung cancer: report of a case. Surg Today 1995;25:982-3.
6 Bernstein D. Partial anomalous pulmonary venous return. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, editors. Nelson textbook of pediatrics. 18th ed. Philadelphia: Saunders, 2007;1886.
7 Valsangiacomo ER, Hornberger LK, Barrea C, Smallhorn JF, Yoo SJ. Partial and total anomalous pulmonary venous connection in the fetus: twodimensional and Doppler echocardiographic findings. Ultrasound Obstet Gynecol 2003;22:257-63.
8 Tueche SG, Demanet H, Goldstein JP, Dessy H, Viart P, Deuvaert FE. Association of a Cor Triatriatum Sinister and a right partial anomalous pulmonary venous return. A case report. Acta Chir Belg 2005;105:217-8.
9 Hovels-Gurich H. Pulmonary venous return anomaly. Orphanet encyclopedia [Internet]. May 2003 [cited 2011 Aug 1]. Available from: http:// http://www.orpha.net/data/patho/GB/uk-PVRA.pdf.
10 Hazirolan T, Ozkan E, Haliloglu M, Celiker A, Balkanci F. Complex venous anomalies: magnetic resonance imaging findings in a 5-year-old boy. Surg Radiol Anat 2006;28:534-8.
11 Lee MG, Ko JS, Yoon HJ, Kim KH, Ahn Y, Jeong MH, et al. An unusual presentation of an atrial septal defect. J Cardiovasc Ultrasound 2009;17:151-2.
12 Elami A, Rein AJ, Preminger TJ, Milgalter E. Tetralogy of Fallot, absent pulmonary valve, partial anomalous pulmonary venous return and coarctation of the aorta. Int J Cardiol 1995;52:203-6.
13 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.
14 Nakahira A, Yagihara T, Kagisaki K, Hagino I, Ishizaka T, Koh M, et al. Partial anomalous pulmonary venous connection to the superior vena cava. Ann Thorac Surg 2006;82:978-82.
15 Oh IY, Chang SA, Kim SH, Shin JI, Sir JJ, Hong YS, et al. Partial anomalous pulmonary venous return into coronary sinus with intact atrial septum. J Korean Soc Echocardiogr 2004;12:94-6.
16 Broy C, Bennett S. Partial anomalous pulmonary venous return. Mil Med 2008;173:523-4.
17 Kim S, Lee YS, Woo JS, Cho KJ. Surgical management of coarctation of the aorta with a ventricular septal defect and coexisting partial anomalous pulmonary venous connection: a case report. Korean J Thorac Cardiovasc Surg 2006;39:479-81.