Cor Vasa 2015, 57(3):e225-e227 | DOI: 10.1016/j.crvasa.2014.08.003

Repair of a partial anomalous venous return from the left lung in a patient after atrial septal defect closure

Vilém Rohn^a, David Janák^a,*, Jan Horák^b

^a II. chirurgická klinika kardiovaskulární chirurgie, 1. lékařská fakulta Univerzity Karlovy a Všeobecná fakultní nemocnice, Praha, Česká republika

^b II. interní klinika kardiologie a angiologie, 1. lékařská fakulta Univerzity Karlovy a Všeobecná fakultní nemocnice, Praha, Česká republika

We report a case of a successful surgical treatment of congenital heart defect in a 47-year-old man who experienced an atrial septal defect closure seven years ago. Nevertheless even after the operation he still suffered from increasing shortness of breath, which reached grade NYHA III last year. This state was caused by a partial anomalous venous return (PAPVR) from the left lung to the left brachiocephalic vein. This fact was overlooked during the first operation. Surgical treatment of newly diagnosed, at the time undifferentiated concomitant cardiac defect in the field of previous surgery requires a comprehensive assessment of the patient's condition and a choice of optimal tactics and strategies.

Keywords: Congenital heart defects in adults; Echocardiography; Partial anomalous venous return

Received: July 14, 2014; Revised: August 4, 2014; Accepted: August 6, 2014; Published: June 1, 2015  Show citation