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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2024; 34(01): 185-188
DOI: 10.1055/s-0043-1776107
Case Report

Hitherto Unreported Pattern of Complex Obstructive Partial Anomalous Pulmonary Venous Drainage with Dual Drainage of Accessory Pulmonary Veins

Dollphy Garg   *
1   Department of Radiodiagnosis and Imaging, Postgraduate Institute of Medical Education and Research, Chandigarh, India
,
Arun Sharma    *
1   Department of Radiodiagnosis and Imaging, Postgraduate Institute of Medical Education and Research, Chandigarh, India
,
Sanjeev Hanumantacharya Naganur
2   Department of Cardiology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
,
Manphool Singhal 
1   Department of Radiodiagnosis and Imaging, Postgraduate Institute of Medical Education and Research, Chandigarh, India
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Abstract

Partial anomalous pulmonary venous drainage is a congenital cardiac disorder characterized by abnormal drainage of one or more pulmonary veins into the systemic circulation. It can be isolated or associated with other congenital cardiac anomalies, most commonly atrial septal defect and patent ductus arteriosus. The clinical presentation is variable and depends on the degree of shunting and associated cardiac anomalies. Many patients usually remain asymptomatic until late in life. In this article, we presented a complex case of obstructive partial anomalous pulmonary venous drainage with dual drainage of bilateral accessory pulmonary veins with intact interatrial septum in conjunction with a patent ductus arteriosus and a ventricular septal defect. This pattern is incredibly rare and to the best of our knowledge has not been previously reported. Computed tomography played a pivotal role in precisely elucidating the intricate anatomy in this case with a complex pattern of anomalous pulmonary venous drainage.

Keywords

accessory pulmonary veins - PAPVC - dual drainage - obstructive partial anomalous pulmonary venous drainage - partial anomalous pulmonary venous drainage

* Both share the co-first authorship.




Publication History

Article published online:
27 October 2023

© 2023. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Sahay S, Krasuski RA, Tonelli AR. Partial anomalous pulmonary venous connection and pulmonary arterial hypertension. Respirology 2012; 17 (06) 957-963
    CrossrefPubMedSearch in Google Scholar
  • 2 Katre R, Burns SK, Murillo H, Lane MJ, Restrepo CS. Anomalous pulmonary venous connections. Semin Ultrasound CT MR 2012; 33 (06) 485-499
    CrossrefPubMedSearch in Google Scholar
  • 3 Aluja Jaramillo F, Hernandez C, Garzón JP, Sánchez Herrera AP, Velasco Morales ML. Infracardiac type total anomalous pulmonary venous return with obstruction and dilatation of portal vein. Radiol Case Rep 2017; 12 (02) 229-232
    CrossrefPubMedSearch in Google Scholar
  • 4 Kim YN, Cho HJ, Cho YK, Ma JS. Partial anomalous pulmonary venous connection with intact atrial septum in a child with ventricular septal defect: a case report. Korean J Pediatr 2012; 55 (01) 24-28
    CrossrefPubMedSearch in Google Scholar
  • 5 Konduri A, Aggarwal S. Partial And Total Anomalous Pulmonary Venous Connection. In: StatPearls.StatPearls Publishing, Treasure Island (FL);2022. PMID: 32809542
  • 6 Kim TH, Kim YM, Suh CH. et al. Helical CT angiography and three-dimensional reconstruction of total anomalous pulmonary venous connections in neonates and infants. Am J Roentgenol 2000; 175 (05) 1381-1386
    CrossrefPubMedSearch in Google Scholar
  • 7 Dillman JR, Yarram SG, Hernandez RJ. Imaging of pulmonary venous developmental anomalies. Am J Roentgenol 2009; 192 (05) 1272-1285
    CrossrefPubMedSearch in Google Scholar
  • 8 Latson LA, Prieto LR. Congenital and acquired pulmonary vein stenosis. Circulation 2007; 115 (01) 103-108
    CrossrefPubMedSearch in Google Scholar
  • 9 Lyen S, Wijesuriya S, Ngan-Soo E. et al. Anomalous pulmonary venous drainage: a pictorial essay with a CT focus. Congenit Heart Dis 2017; 1-3
    Search in Google Scholar
  • 10 Pandey NN, Sharma A, Jagia P. Imaging of anomalous pulmonary venous connections by multidetector CT angiography using third-generation dual source CT scanner. Br J Radiol 2018; 91 (1092): 20180298
    CrossrefPubMedSearch in Google Scholar