Pulmonary Hypertension Secondary to Partial Anomalous Pulmonary Venous Return in an Elderly
Joint Authors
Koester, Stefan
Lee, Justin Z.
Lee, Kwan S.
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-02-23
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Background.
Partial anomalous pulmonary venous return (PAPVR) is an uncommon congenital abnormality, which may present in the adult population.
It is often associated with sinus venosus defect (SVD).
The diagnosis and therapy for this condition may be challenging.
Case Presentation.
We describe a case of an elderly woman who presented with NYHA Class IV dyspnea and was suspected to have symptomatic pulmonary hypertension.
She was later found to have anomalous right upper pulmonary vein return to the superior vena cava and associated SVD with bidirectional shunting.
Therapeutic options were discussed and medical management alone with aggressive diuresis and sildenafil was adopted.
Follow-up visits revealed success in the planned medical therapy.
Conclusions.
PAPVR is a rare congenital condition that may present during late adulthood.
The initial predominant left-to-right shunting associated with this anomaly may go undetected for years with the gradual development of pulmonary hypertension and right heart failure due to right heart volume overload.
Awareness of the condition is important, as therapy is time-sensitive with early detection potentially leading to surgical therapy as a viable option.
American Psychological Association (APA)
Koester, Stefan& Lee, Justin Z.& Lee, Kwan S.. 2016. Pulmonary Hypertension Secondary to Partial Anomalous Pulmonary Venous Return in an Elderly. Case Reports in Cardiology،Vol. 2016, no. 2016, pp.1-4.
https://search.emarefa.net/detail/BIM-1100401
Modern Language Association (MLA)
Koester, Stefan…[et al.]. Pulmonary Hypertension Secondary to Partial Anomalous Pulmonary Venous Return in an Elderly. Case Reports in Cardiology No. 2016 (2016), pp.1-4.
https://search.emarefa.net/detail/BIM-1100401
American Medical Association (AMA)
Koester, Stefan& Lee, Justin Z.& Lee, Kwan S.. Pulmonary Hypertension Secondary to Partial Anomalous Pulmonary Venous Return in an Elderly. Case Reports in Cardiology. 2016. Vol. 2016, no. 2016, pp.1-4.
https://search.emarefa.net/detail/BIM-1100401
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1100401