Cardiovasc Imaging Asia.  2025 Apr;9(2):19-22. 10.22468/cvia.2024.00143.

Imaging and Surgical Repair of the Left Pulmonary Venous Anomaly to Coronary Sinus With Small Patent Ductus Arteriosus

Affiliations
  • 1Cardiovascular Center, Hanoi Medical University Hospital, Hanoi, Vietnam
  • 2Radiology Department, Hanoi Medical University Hospital, Hanoi, Vietnam

Abstract

A 47-year-old female was admitted with progressive exertional dyspnea and diagnosed with anomalous drainage of the left pulmonary veins into the coronary sinus (CS), combined with an intact interatrial septum and a small patent ductus arteriosus (PDA). Multimodal imaging, including echocardiography, computed tomography, and cardiac catheterization, helps diagnosis, optimal management and monitoring. The patient successfully underwent surgical repair, which involved rerouting the left anomalous pulmonary veins into the left atrium through a surgically created atrial septal defect, while the CS continued to drain into the right atrium and the PDA was closed directly via a transpulmonary approach. The postoperative course was uneventful.

Keyword

Anomalous pulmonary venous connection; Coronary sinus; Patent ductus arteriosus; Atrial septum; Adult congenital heart disease
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