Isolated Partial Anomalous Pulmonary Venous Connection of the Left Lung


  • Onur S. Göksel
  • Zuhal Torlak
  • Helin El
  • Utku Alkara
  • Emin Tireli
  • Enver Dayio?lu



Isolated partial anomalous pulmonary venous connection (PAPVC) of the entire left lung is a rare congenital anomaly with incidental diagnosis and vague symptoms, if any, until late adulthood. If left untreated, PAPVC may result in severe right ventricular failure and pulmonary vascular disease. We present the case of a 34-year-old woman with isolated PAPVC of the entire left lung. The patient underwent operation with a side-to-side left atrio-vertical vein anastomosis while on cardiopulmonary bypass and under cardioplegic arrest. She was discharged without complications and with a gradient of 2 mm Hg across the anastomosis. Left-sided PAPVC can be repaired with minimal morbidity and mortality. Surgical correction is warranted when patients are symptomatic or show evidence of right-sided overload due to unpredictability of the natural course. Recent data demonstrate that both on-pump and off-pump surgical procedures produce excellent long-term outcomes when performed without persisting gradients.


Ammash NM, Seward JB, Warnes CA, Connolly HM, O'Leary PW, Danielson GK 1997. Partial anomalous pulmonary venous connection: diagnosis by transesophageal echocardiography. J Am Coll Cardiol 29:1351-8.nBan T, Sakata R, Hirata K 1987. Surgical treatment of partial anomalous pulmonary venous connection of the left lung (It-PAPVC). J Card Surg 2:369-73.nElBardissi AW, Dearani JA, Suri RM, Danielson GK 2008. Left-sided partial anomalous pulmonary venous connections. Ann Thorac Surg 85:1007-14.nMukadam ME, Khandeparkar JM, Agarwal NB, Kumar LJ, Tendolkar AG, Magotra RA 1995. Surgical considerations in management of left hemianomalous pulmonary venous connections. Thorac Cardiovasc Surg 43:48-51.nVan Meter C Jr, LeBlanc JG, Culpepper WS III, Ochsner JL 1990. Partial anomalous pulmonary venous return. Circulation 82:195-8.n



How to Cite

Göksel, O. S., Torlak, Z., El, H., Alkara, U., Tireli, E., & Dayio?lu, E. (2009). Isolated Partial Anomalous Pulmonary Venous Connection of the Left Lung. The Heart Surgery Forum, 12(3), E182-E183.