계명대학교 의학도서관 Repository

Surgical correction of total anomalous pulmonary venous return in an adult patient

Metadata Downloads
Author(s)
Yohan BaeWoo Sung JangKyungsub Song
Keimyung Author(s)
Jang, Woo Sung
Department
Dept. of Thoracic & Cardiovascular Surgery (흉부외과학)
Journal Title
J Cardiothorac Surg
Issued Date
2022
Volume
17
Issue
1
Keyword
Adult congenital heart surgeryComplex congenital heart diseaseTAPVRVascular anomalies
Abstract
Background:
Total anomalous pulmonary venous return (TAPVR) is rare congenital heart disease. Most TAPVRs require surgical corrections in the neonatal period and survival to adulthood without surgical correction is extremely rare. Most untreated patients with large atrial septal defects and no pulmonary venous obstruction have pulmonary vascular damage from pulmonary over circulation.

Case presentation:
44-year-old TAPVR patient admitted to our medical center. A snowman-shaped heart, including cardiomegaly and an increase in pulmonary blood flow, was seen in the chest X-ray. A large-sized (around 3 cm) atrial septal defect with dilated right atrium, right ventricle, and pulmonary artery was detected on echocardiography. Heart computed tomography was performed for further evaluation, and supra-cardiac type TAPVR without any obstructive lesion was identified.

Conclusions:
TAPVR in an adult patient is extremely rare, and this patient was treated successfully with surgical correction and is doing well. A sinus rhythm and mild mitral valve regurgitation have remained during 2.5 years of outpatient follow-up.
Keimyung Author(s)(Kor)
장우성
Publisher
School of Medicine (의과대학)
Type
Article
ISSN
1749-8090
Source
https://cardiothoracicsurgery.biomedcentral.com/articles/10.1186/s13019-022-01990-9
DOI
10.1186/s13019-022-01990-9
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/44547
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Thoracic & Cardiovascular Surgery (흉부외과학)
공개 및 라이선스
  • 공개 구분공개
파일 목록

Items in Repository are protected by copyright, with all rights reserved, unless otherwise indicated.