Asymptomatic Total Anomalous Pulmonary Venous Connection with Double Drainage in a Young Adult: A Case Report

Authors

  • Kenan Yalta
  • Okan Onur Turgut
  • Ahmet Yilmaz
  • Mehmet Birhan Yilmaz
  • Sinasi Manduz
  • Filiz Karadas
  • Kasim Dogan
  • Izzet Tandogan

DOI:

https://doi.org/10.1532/HSF98.20071016

Abstract

Total anomalous pulmonary venous connection is an uncommon congenital anomaly in which all pulmonary venous return drains to the right atrium or one of its tributaries. Survival beyond infancy without surgical palliation is unlikely, so this anomaly is not encountered in the adult population with congenital heart disease. The patient presented here was 22 years old on admission and had no total anomalous pulmonary venous connection-associated symptoms. He underwent transthoracic echocardiographic examination for atypical chest pain. Transthoracic echocardiography along with cardiac catheterization favored the presence of a total anomalous pulmonary venous connection. Surgical correction of pulmonary venous confluence (draining to both the coronary sinus and right atrium) was performed successfully. This is a rare case of total anomalous pulmonary venous connection with no reported symptoms in contrast to the majority of patients who are symptomatic during the first year of life.

References

Arciprete P, Mckay R, Watson GH, Hamilton DI, Wikinson JL, Arnold RM. 1986. Double connection in total anomalous pulmonary venous connection. J Thorac Cardiovasc Surg 92:146-52.nDarling RC, Rothney WB, Craig JM. 1957. Total pulmonary venous drainage to the right side of the heart: report of 17 autopsied cases not associated with other major cardiovascular anomalies. Lab Invest 6:44-64.nLee ML, Wang JK, Wu MH, Chu SH, Lue HC. 1995. Unusual form of total anomalous pulmonary venous connection with double drainage. Pediatr Cardiol 16:301-3.nTanabe S, Nakasato M, Suzuki H, Ishikawa A, Fukasawa A, Hayasaka K. 2000. A new form of total anomalous pulmonary venous connection with double drainage. Ped Int 42:369-71.nVan de Wal HJCM. 1993. Total anomalous pulmonary venous drainage by double connection corrected by ascending vein and coronary sinus repair. J Thorac Cardiovasc Surg 105:367-8.n

Published

2007-04-24

How to Cite

Yalta, K., Turgut, O. O., Yilmaz, A., Yilmaz, M. B., Manduz, S., Karadas, F., Dogan, K., & Tandogan, I. (2007). Asymptomatic Total Anomalous Pulmonary Venous Connection with Double Drainage in a Young Adult: A Case Report. The Heart Surgery Forum, 10(3), E211-E212. https://doi.org/10.1532/HSF98.20071016

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