Surgical Ligation for Partial Anomalous Pulmonary Venous Connection With Dual Drainage in an Elderly Patient.

Authors

Taku Tanaka, Hodaka Wakisaka, Masahiro Kimura, Takako Miyazaki, Noriyuki Takashima, Tomoaki Suzuki

Published in

JACC. Case reports. Pages 110659. Oct 10, 2026. Epub Oct 10, 2026.

Abstract

Partial anomalous pulmonary venous connection with dual drainage into both the superior vena cava (SVC) and left atrium (LA) is a rare congenital anomaly, with few reported cases.
A 78-year-old woman presented with exertional dyspnea. Cardiac computed tomography revealed that the right pulmonary vein drained into both the SVC and LA, resulting in a significant left-to-right shunt. We ligated the anomalous connection with a median sternotomy. This approach allowed avoidance of complex reconstructions and cardioplegic arrest.
Simple ligation may represent a less invasive surgical option that avoids cardiac arrest and shortens operative time. Moreover, it may prevent pulmonary venous obstruction and future heart failure caused by right heart volume overload.
In elderly patients with heart failure caused by partial anomalous pulmonary venous connection with dual drainage into both the SVC and LA, ligation of the left-to-right shunt may be less invasive and prevent late complications.

PMID:
42859927
Bibliographic data and abstract were imported from PubMed on 11 Oct 2026.

Read full publication at:
Please sign in to see all details.

Stats

1-terrible, 9-excellent. How would you rate this publication? Sign in in to submit your rating.

Post a comment

You need to be signed in to post comments. You can sign in here.

Comments

There are no comments yet.