Partial anomalous pulmonary venous connection and an incidental aberrant right subclavian artery: A rare case report
Partial anomalous pulmonary venous connection (PAPVC) is a rare congenital heart defect where some pulmonary veins drain into the right atrium instead of the left. We report a case of a 20-year-old female with worsening dyspnea and intermittent chest pain. Imaging revealed cardiomegaly and pulmonary...
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Elsevier
2025-04-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043325000263 |
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| author | Ashish Khadka, MD Aakash Neupane, MBBS Pramodman Singh Yadav, MBBS Leeza Shah, MD Abinash Dev, MBBS Sabin Ghale, MBBS, MBBS Amisha Karki, MBBS |
| author_facet | Ashish Khadka, MD Aakash Neupane, MBBS Pramodman Singh Yadav, MBBS Leeza Shah, MD Abinash Dev, MBBS Sabin Ghale, MBBS, MBBS Amisha Karki, MBBS |
| author_sort | Ashish Khadka, MD |
| collection | DOAJ |
| description | Partial anomalous pulmonary venous connection (PAPVC) is a rare congenital heart defect where some pulmonary veins drain into the right atrium instead of the left. We report a case of a 20-year-old female with worsening dyspnea and intermittent chest pain. Imaging revealed cardiomegaly and pulmonary hypertension on chest X-ray. Contrast-enhanced CT showed normal right pulmonary vein drainage but anomalous drainage of the left pulmonary veins into the left brachiocephalic vein. An incidental finding of an aberrant right subclavian artery (ARSA) was also noted. The patient underwent successful surgical correction of PAPVC, with no postoperative complications, though long-term follow-up was unavailable. PAPVC is often asymptomatic but can lead to right-sided heart failure and pulmonary hypertension if untreated. ARSA, a rare anomaly, was not clinically significant in this case. This report emphasizes the role of advanced imaging in diagnosing rare anomalies like PAPVC and ARSA, where early detection and intervention are crucial for preventing complications like right ventricular dysfunction and arrhythmias. |
| format | Article |
| id | doaj-art-79df00f2d4214288a892fe62a1f55d66 |
| institution | Kabale University |
| issn | 1930-0433 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj-art-79df00f2d4214288a892fe62a1f55d662025-02-03T04:16:39ZengElsevierRadiology Case Reports1930-04332025-04-0120421842188Partial anomalous pulmonary venous connection and an incidental aberrant right subclavian artery: A rare case reportAshish Khadka, MD0Aakash Neupane, MBBS1Pramodman Singh Yadav, MBBS2Leeza Shah, MD3Abinash Dev, MBBS4Sabin Ghale, MBBS, MBBS5Amisha Karki, MBBS6Department of Radiodiagnosis and Imaging, National Academy of Medical Sciences, Kathmandu, NepalDepartment of Internal Medicine, B.P. Koirala Institute of Health Sciences, Dharan, Nepal; Corresponding author.Department of Internal Medicine, B.P. Koirala Institute of Health Sciences, Dharan, NepalDepartment of Internal Medicine, Chitwan Medical College, NepalDepartment of Internal Medicine, B.P. Koirala Institute of Health Sciences, Dharan, NepalDepartment of Internal Medicine, B.P. Koirala Institute of Health Sciences, Dharan, NepalDepartment of Internal Medicine, Bharatpur Hospital, Bharatpur, NepalPartial anomalous pulmonary venous connection (PAPVC) is a rare congenital heart defect where some pulmonary veins drain into the right atrium instead of the left. We report a case of a 20-year-old female with worsening dyspnea and intermittent chest pain. Imaging revealed cardiomegaly and pulmonary hypertension on chest X-ray. Contrast-enhanced CT showed normal right pulmonary vein drainage but anomalous drainage of the left pulmonary veins into the left brachiocephalic vein. An incidental finding of an aberrant right subclavian artery (ARSA) was also noted. The patient underwent successful surgical correction of PAPVC, with no postoperative complications, though long-term follow-up was unavailable. PAPVC is often asymptomatic but can lead to right-sided heart failure and pulmonary hypertension if untreated. ARSA, a rare anomaly, was not clinically significant in this case. This report emphasizes the role of advanced imaging in diagnosing rare anomalies like PAPVC and ARSA, where early detection and intervention are crucial for preventing complications like right ventricular dysfunction and arrhythmias.http://www.sciencedirect.com/science/article/pii/S1930043325000263Congenital heart diseasesPulmonary vein anomaliesCardiologyDyspneaComputed tomography |
| spellingShingle | Ashish Khadka, MD Aakash Neupane, MBBS Pramodman Singh Yadav, MBBS Leeza Shah, MD Abinash Dev, MBBS Sabin Ghale, MBBS, MBBS Amisha Karki, MBBS Partial anomalous pulmonary venous connection and an incidental aberrant right subclavian artery: A rare case report Radiology Case Reports Congenital heart diseases Pulmonary vein anomalies Cardiology Dyspnea Computed tomography |
| title | Partial anomalous pulmonary venous connection and an incidental aberrant right subclavian artery: A rare case report |
| title_full | Partial anomalous pulmonary venous connection and an incidental aberrant right subclavian artery: A rare case report |
| title_fullStr | Partial anomalous pulmonary venous connection and an incidental aberrant right subclavian artery: A rare case report |
| title_full_unstemmed | Partial anomalous pulmonary venous connection and an incidental aberrant right subclavian artery: A rare case report |
| title_short | Partial anomalous pulmonary venous connection and an incidental aberrant right subclavian artery: A rare case report |
| title_sort | partial anomalous pulmonary venous connection and an incidental aberrant right subclavian artery a rare case report |
| topic | Congenital heart diseases Pulmonary vein anomalies Cardiology Dyspnea Computed tomography |
| url | http://www.sciencedirect.com/science/article/pii/S1930043325000263 |
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