Partial anomalous pulmonary vein connection

A 71-year-old female presented with increasing dyspnea and atrial fibrillation and was found to have severe tricuspid insufficiency, pulmonary hypertension, an intact atrial septum, and a partial anomalous pulmonary vein connection (PAPVC) between the left superior pulmonary vein (LSPV) and the left anomalous vein (LAV) (Fig. 1A, B). At the time of surgery, the patient underwent tricuspid valve ring annuloplasty, bipolar ablation, and an anastomosis of the LSPV to the left atrium (Fig. 1C, D). The patient has remained asymptomatic and in normal sinus rhythm six months after surgery. Figure 1. (A-B) Contrast thoracic CT-scan 3-D reconstruction showing, by anterior and posterior view, the abnormal connection between the left superior pulmonary vein and the left anonymous vein. (C-D) Contrast thoracic CT-scan image and 3-D reconstruction after surgical treatment showing left superior pulmonary vein anastomosed to the left atrium appendage restoring physiological cardiopulmonary circulation. SCV, superior cava vein; RAV, right anonymous vein; LAV, left anonymous vein; LSPV, left superior pulmonary vein; RA, right atrium; LA, left atrium. Download figure to PowerPoint