Detection of partial anomalous right pulmonary venous return with an intact atrial septum by transesophageal echocardiography

Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography
D S MillerN G Pandian

Abstract

Partial anomalous pulmonary venous drainage with intact atrial septum is a rare congenital anomaly. We report a case of a 63-year-old woman who recently had dyspnea on minimal exertion and was found to have pulmonary hypertension, right atrial enlargement, and right ventricular enlargement by two-dimensional transthoracic echocardiography. Transesophageal echocardiography demonstrated anomalous venous drainage of the right lung into the superior vena cava with an intact interatrial septum. This diagnosis was confirmed by angiography and the patient underwent successful repair. This case illustrates the importance of locating all four pulmonary veins in patients with pulmonary hypertension or suspected intracardiac shunt in addition to scanning the atrial septum.

References

Oct 1, 1990·Journal of the American College of Cardiology·R H MehtaT L Hsu
Aug 1, 1968·The American Journal of Cardiology·R L FryeR B Wallace

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Citations

Jul 28, 2005·The International Journal of Cardiovascular Imaging·Mehmet KanadaşiOnur Akpinar
Apr 19, 2012·Respirology : Official Journal of the Asian Pacific Society of Respirology·Sandeep SahayAdriano R Tonelli
Jun 16, 2012·Journal of Medical Imaging and Radiation Oncology·Won-kyung SungAnand Rose
Jan 13, 2015·Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses·Shereen FarghalyAsmaa Nafady

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