Recurrent Pneumonia and a Normal Heart: Late Complication after Repair of Hemianomalous Pulmonary Venous Drainage—A Cautionary Tale

Hemianomalous pulmonary venous drainage with intact atrial septum is a rare congenital anomaly and reports of its surgical repair and the long-term complications related to the correction are only infrequently encountered in the literature. We report the case of a patient with hemianomalous pulmonar...

Full description

Saved in:
Bibliographic Details
Main Authors: Maryanne Caruana, Victor Grech, Jane Somerville
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2010/930589
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832545484160368640
author Maryanne Caruana
Victor Grech
Jane Somerville
author_facet Maryanne Caruana
Victor Grech
Jane Somerville
author_sort Maryanne Caruana
collection DOAJ
description Hemianomalous pulmonary venous drainage with intact atrial septum is a rare congenital anomaly and reports of its surgical repair and the long-term complications related to the correction are only infrequently encountered in the literature. We report the case of a patient with hemianomalous pulmonary venous drainage and intact atrial septum who underwent surgical repair using a pericardial baffle and creation of an “atrial septal defect” aged 15 years. Dyspnoea and recurrent chest infections started 7 months after surgery when he was seen by a respiratory physician without cardiac followup. He presented again aged 28 years with a recurrent pneumonia investigated over 6 weeks and heart pronounced normal from examination and echocardiography. Correct diagnosis was made in Grown Up Congenital Heart (GUCH) clinic stimulating review of data and catheterisation with pulmonary artery angiography which confirmed it. We feel that this case highlights the importance of specialist care and followup for GUCH patients.
format Article
id doaj-art-0a62bbb8547b4fa98cade904f438a418
institution Kabale University
issn 1687-9627
1687-9635
language English
publishDate 2010-01-01
publisher Wiley
record_format Article
series Case Reports in Medicine
spelling doaj-art-0a62bbb8547b4fa98cade904f438a4182025-02-03T07:25:33ZengWileyCase Reports in Medicine1687-96271687-96352010-01-01201010.1155/2010/930589930589Recurrent Pneumonia and a Normal Heart: Late Complication after Repair of Hemianomalous Pulmonary Venous Drainage—A Cautionary TaleMaryanne Caruana0Victor Grech1Jane Somerville2Department of Cardiology, Mater Dei Hospital, Birkirkara Bypass, Birkirkara MSD2090, MaltaDepartment of Paediatrics, Mater Dei Hospital, Birkirkara Bypass, Birkirkara MSD2090, MaltaDepartment of Cardiology, Mater Dei Hospital, Birkirkara Bypass, Birkirkara MSD2090, MaltaHemianomalous pulmonary venous drainage with intact atrial septum is a rare congenital anomaly and reports of its surgical repair and the long-term complications related to the correction are only infrequently encountered in the literature. We report the case of a patient with hemianomalous pulmonary venous drainage and intact atrial septum who underwent surgical repair using a pericardial baffle and creation of an “atrial septal defect” aged 15 years. Dyspnoea and recurrent chest infections started 7 months after surgery when he was seen by a respiratory physician without cardiac followup. He presented again aged 28 years with a recurrent pneumonia investigated over 6 weeks and heart pronounced normal from examination and echocardiography. Correct diagnosis was made in Grown Up Congenital Heart (GUCH) clinic stimulating review of data and catheterisation with pulmonary artery angiography which confirmed it. We feel that this case highlights the importance of specialist care and followup for GUCH patients.http://dx.doi.org/10.1155/2010/930589
spellingShingle Maryanne Caruana
Victor Grech
Jane Somerville
Recurrent Pneumonia and a Normal Heart: Late Complication after Repair of Hemianomalous Pulmonary Venous Drainage—A Cautionary Tale
Case Reports in Medicine
title Recurrent Pneumonia and a Normal Heart: Late Complication after Repair of Hemianomalous Pulmonary Venous Drainage—A Cautionary Tale
title_full Recurrent Pneumonia and a Normal Heart: Late Complication after Repair of Hemianomalous Pulmonary Venous Drainage—A Cautionary Tale
title_fullStr Recurrent Pneumonia and a Normal Heart: Late Complication after Repair of Hemianomalous Pulmonary Venous Drainage—A Cautionary Tale
title_full_unstemmed Recurrent Pneumonia and a Normal Heart: Late Complication after Repair of Hemianomalous Pulmonary Venous Drainage—A Cautionary Tale
title_short Recurrent Pneumonia and a Normal Heart: Late Complication after Repair of Hemianomalous Pulmonary Venous Drainage—A Cautionary Tale
title_sort recurrent pneumonia and a normal heart late complication after repair of hemianomalous pulmonary venous drainage a cautionary tale
url http://dx.doi.org/10.1155/2010/930589
work_keys_str_mv AT maryannecaruana recurrentpneumoniaandanormalheartlatecomplicationafterrepairofhemianomalouspulmonaryvenousdrainageacautionarytale
AT victorgrech recurrentpneumoniaandanormalheartlatecomplicationafterrepairofhemianomalouspulmonaryvenousdrainageacautionarytale
AT janesomerville recurrentpneumoniaandanormalheartlatecomplicationafterrepairofhemianomalouspulmonaryvenousdrainageacautionarytale