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Successful treat-and-repair strategy in a 5 year old with partial anomalous pulmonary venous connection, atrial septal defect, and severe pulmonary hypertension

Published online by Cambridge University Press:  19 August 2025

Ken Hayashi*
Affiliation:
Department of Cardiology, Osaka Women’s and Children’s Hospital, Izumi, Osaka, Japan
Kumiyo Matsuo
Affiliation:
Department of Cardiology, Osaka Women’s and Children’s Hospital, Izumi, Osaka, Japan
Hisaaki Aoki
Affiliation:
Department of Cardiology, Osaka Women’s and Children’s Hospital, Izumi, Osaka, Japan
*
Corresponding Author: Ken Hayashi; Email: hayaken0103@hotmail.co.jp

Abstract

We report the case of a 5-year-old boy with severe pulmonary arterial hypertension due to partial anomalous pulmonary venous connection and atrial septal defect. Sequential combination therapy using multiple pulmonary vasodilators enabled safe surgical repair. In this case of severe pulmonary arterial hypertension—associated with partial anomalous pulmonary venous connection and atrial septal defect—the treat-and-repair strategy proved effective.

Information

Type
Case Report
Copyright
© The Author(s), 2025. Published by Cambridge University Press

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References

Charisopoulou, D, Bini, RM, Riley, G et al. Repair of isolated atrial septal defect in infants less than 12 months improves symptoms of chronic lung disease or shunt-related pulmonary hypertension. Cardiol Young 2020; 30: 511520.CrossRefGoogle ScholarPubMed
Hayashi, K, Hasegawa, T, Tanaka, T. Fenestrated closure of an atrial septal defect for left ventricular diastolic dysfunction in an early infant with hypertrophic cardiomyopathy. Cardiol Young 2024; 34: 24642466.CrossRefGoogle Scholar
Jin, C, Wu, Y, Wang, Z et al. Isolated partial anomalous pulmonary veins: a 10-year experience at a single center. J Surg Res 2024; 298: 6370.CrossRefGoogle ScholarPubMed
Fragata, J, Magalhães, M, Baquero, L et al. Partial anomalous pulmonary venous connections: surgical management. World J Pediatr Congenit Heart Surg 2013; 4: 4449.CrossRefGoogle ScholarPubMed
Hatipoglu, S, Almogheer, B, Mahon, C et al. Clinical significance of partial anomalous pulmonary venous connections (isolated and atrial septal defect associated) determined by cardiovascular magnetic resonance. Circ Cardiovasc Imaging 2021; 14: 012371.CrossRefGoogle ScholarPubMed
Seller, N, Yoo, S, Grant, B et al. How many versus how much: comprehensive haemodynamic evaluation of partial anomalous pulmonary venous connection by cardiac MRI. Eur Radiol 2018; 28: 45984606.CrossRefGoogle ScholarPubMed
Pizzini, A, Sonnweber, T, Frank, R et al. Clinical implications of partial anomalous pulmonary venous connection: a rare cause of severe pulmonary arterial hypertension. Pulm Circ 2020; 10: 2045894019885352.CrossRefGoogle ScholarPubMed
Choi, MH, Greathouse, F, Darki, A. Medical management of isolated partial anomalous pulmonary venous connection with symptomatic right ventricular failure and pulmonary hypertension. Cureus 2024; 16: e62779.Google ScholarPubMed
Douwes, JM, Loon, RLE, Hoendermis, ES et al. Acute pulmonary vasodilator response in paediatric and adult pulmonary arterial hypertension: occurrence and prognostic value when comparing three response criteria. Eur Heart J 2011; 32: 31373146.CrossRefGoogle ScholarPubMed
El-Kersh, K, Homsy, E, Daniels, CJ et al. Partial anomalous pulmonary venous return: a case series with management approach. Respir Med Case Rep 2019; 27: 100833.Google ScholarPubMed