Abstract
The incidence of partial anomalous pulmonary venous return is estimated to be at least 7 per 1000 individuals. The number and size of the anomalous vessels will define the size of the left-to-right shunt, and the severity of presentation can vary from mild disease identified incidentanlly to right-sided volume overload, severe pulmonary hypertension, and right ventricular failure. This chapter covers the anatomy and physiology of the disease, options and indications for surgical repair, and the management of adult survivors. Total anomalous pulmonary venous return is a rare but severe manifestation of anomalous pulmonary venous return generally presenting in infancy, but also receives mention in this chapter.
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Healey JE Jr. An anatomic survey of anomalous pulmonary veins: their clinical significance. J Thorac Surg. 1952;23:433–44.
Reller MD, Strickland MJ, Riehle-Colarusso T, Mahle WT, Correa A. Prevalence of congenital heart defects in metropolitan Atlanta, 1998–2005. J Pediatr. 2008;153:807–13.
Katre R, Burns SK, Murillo H, Lane MJ, Restrepo CS. Anomalous pulmonary venous connections. Semin Ultrasound CT MR. 2012;33:485–99.
Seale AN, Uemura H, Webber SA, et al. Total anomalous pulmonary venous connection: morphology and outcome from an international population-based study. Circulation. 2010;122:2718–26.
Alsoufi B, Cai S, Van Arsdell GS, Williams WG, Caldarone CA, Coles JG. Outcomes after surgical treatment of children with partial anomalous pulmonary venous connection. Ann Thorac Surg. 2007;84:2020–6; discussion 2020–6.
Mascarenhas E, Javier RP, Samet P. Partial anomalous pulmonary venous connection and drainage. Am J Cardiol. 1973;31:512–8.
Haramati LB, Moche IE, Rivera VT, et al. Computed tomography of partial anomalous pulmonary venous connection in adults. J Comput Assist Tomogr. 2003;27:743–9.
Ho ML, Bhalla S, Bierhals A, Gutierrez F. MDCT of partial anomalous pulmonary venous return (PAPVR) in adults. J Thorac Imaging. 2009;24:89–95.
Gudjonsson U, Brown JW. Scimitar syndrome. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2006:56–62.
Shibuya K, Smallhorn JE, McCrindle BW. Echocardiographic clues and accuracy in the diagnosis of scimitar syndrome. J Am Soc Echocardiogr. 1996;9:174–81.
Najm HK, Williams WG, Coles JG, Rebeyka IM, Freedom RM. Scimitar syndrome: twenty years’ experience and results of repair. J Thorac Cardiovasc Surg. 1996;112:1161–8; discussion 1168–9.
Nakayama Y, Hiramatsu T, Iwata Y, et al. Surgical results for functional univentricular heart with total anomalous pulmonary venous connection over a 25-year experience. Ann Thorac Surg. 2012;93:606–13.
Morales DL, Braud BE, Booth JH, et al. Heterotaxy patients with total anomalous pulmonary venous return: improving surgical results. Ann Thorac Surg. 2006;82:1621–7; discussion 1627–8.
Cheng C, Kuang LQ, Jiang MR, Hu YJ, Wang Y. Mixed supra- and intracardiac totally anomalous pulmonary venous connection in an adult female: pre- and postoperative evaluation with emphasis on MDCT angiographic advantages. Heart Lung Circ. 2015;24:e188–92.
Ammash NM, Seward JB, Warnes CA, Connolly HM, O’Leary PW, Danielson GK. Partial anomalous pulmonary venous connection: diagnosis by transesophageal echocardiography. J Am Coll Cardiol. 1997;29:1351–8.
Majdalany DS, Phillips SD, Dearani JA, Connolly HM, Warnes CA. Isolated partial anomalous pulmonary venous connections in adults: twenty-year experience. Congenit Heart Dis. 2010;5:537–45.
Shahriari A, Rodefeld MD, Turrentine MW, Brown JW. Caval division technique for sinus venosus atrial septal defect with partial anomalous pulmonary venous connection. Ann Thorac Surg. 2006;81:224–9; discussion 229–30.
Wilson W, Horlick E, Benson L. Successful transcatheter occlusion of an anomalous pulmonary vein with dual drainage to the left atrium. Catheter Cardiovasc Interv. 2015;85:1212–6.
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Kochav, J. (2018). Anomalous Pulmonary Venous Return. In: DeFaria Yeh, D., Bhatt, A. (eds) Adult Congenital Heart Disease in Clinical Practice. In Clinical Practice. Springer, Cham. https://doi.org/10.1007/978-3-319-67420-9_11
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DOI: https://doi.org/10.1007/978-3-319-67420-9_11
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