Total anomalous pulmonary vein drainage in an adult diagnosed by helical computed tomography.

A 41-year-old man visited our hospital with the complaint of palpitation by atrial flutter. He was finally diagnosed as total anomalous pulmonary vein drainage by helical computed tomography (CT). This case is very unusual due to the lack of symptoms until the age of 41. The absence of pulmonary artery stenosis, and the presence of atrial septal defect providing sufficient right to left shunt flow to maintain the output of left ventricle are some of the reasons to explain the lack of symptoms and very slight impact on daily life. Helical CT, in particular 3-dimensional imaging, is very useful in diagnosing complicated cardiovascular deformation as in this case.

[1]  F. Lacour-Gayet,et al.  [Pulmonary vein stenosis. Description of a sutureless surgical procedure using the pericardium in situ]. , 1996, Archives des maladies du coeur et des vaisseaux.

[2]  Y. Fukuhiro,et al.  [Surgical correction of total anomalous pulmonary venous drainage: an adult case of successful repair]. , 1996, Kyobu geka. The Japanese journal of thoracic surgery.

[3]  R. Rowe,et al.  An increased incidence of total anomalous pulmonary venous drainage among aboriginal Canadians. , 1996, The Canadian journal of cardiology.

[4]  T. Onitsuka,et al.  A simple method for excising pulmonary venous obstruction after repair of total anomalous pulmonary venous drainage. , 1994, Japanese circulation journal.

[5]  R. Byard,et al.  Total anomalous pulmonary venous drainage associated with fatal outcome in infancy and early childhood: an autopsy study of 52 cases. , 1994, Pediatric pathology.

[6]  J. Mayer,et al.  Total anomalous pulmonary venous drainage in newborns with visceral heterotaxy. , 1994, The Annals of thoracic surgery.

[7]  Y. Morishita,et al.  [Surgical repair of total anomalous pulmonary venous drainage--four adult cases of successful operation]. , 1993, [Zasshi] [Journal]. Nihon Kyobu Geka Gakkai.

[8]  H. Matsuda,et al.  [The pulmonary venous obstruction following repair with absorbable sutures in total anomalous pulmonary venous drainage--a case report]. , 1992, [Zasshi] [Journal]. Nihon Kyobu Geka Gakkai.

[9]  T. Miura,et al.  [Assessment of Blalock-Taussig shunts in children with complex cardiac anomalies associated with reduced pulmonary blood flow and total anomalous pulmonary venous drainage]. , 1992, Kyobu geka. The Japanese journal of thoracic surgery.

[10]  A. Sanfilippo,et al.  Early neonatal death due to an unusual pattern of total anomalous pulmonary venous drainage. , 1992, The Canadian journal of cardiology.

[11]  M. Godman,et al.  Pulmonary venous obstruction following correction for total anomalous pulmonary venous drainage: a challenge. , 1992, European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery.