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.
from #AlexandrosSfakianakis via Alexandros G.Sfakianakis on Inoreader http://ift.tt/1T3sy9s
via IFTTT
Εγγραφή σε:
Σχόλια ανάρτησης (Atom)
Δημοφιλείς αναρτήσεις
-
The HiFocus Mid-Scala (MS) electrode array has recently been introduced onto the market. This precurved design with a targeted mid-scalar in...
-
Abstract Background Albumin is a protein colloidal solution with limited availability and high cost. It should be used in such approved i...
-
Publication date: Available online 6 November 2017 Source: Journal of Dairy Science Author(s): Lorenzo E. Hernández-Castellano, Ranya Özçe...
-
Abstract Cigarette smoking is associated with an increased risk of developing mucinous ovarian tumours but whether it is associated with o...
-
<span class="paragraphSection"><div class="boxTitle">Abstract</div><div class="boxTitle"...
-
by Jiansong Chen, Borong Lin, Qiuling Huang, Lili Hu, Kan Zhuo, Jinling Liao Plant pathogen effectors can recruit the host post-translatio...
-
CDC and health officials from Wisconsin and Illinois are conducting an investigation of Seoul virus infections among pet rats and persons ex...
-
Bacteriological confirmed active case detection remains the corner stone for diagnosing tuberculosis. Non-radiometric liquid culture system ...
-
Atooshe Rohani, Shahram Kargar, Afsoon Fazlinejad, Fereshte Ghaderi, Vida Vakili, Homa Falsoleiman, Ramin Khamene Bagheri Annals of Cardi...
Δεν υπάρχουν σχόλια:
Δημοσίευση σχολίου