Management of Obstructed Complete Left Partial Anomalous Pulmonary Venous Return in a Preterm Infant

Timothy R. Harris, Joiliana Lecointe, Thomas P. Doyle, Nhue L. Do, Dana R. Janssen, Garrett N. Coyan
Vanderbilt University Medical Center. University of Arizona. Meharry Medical College.
United States

Annals of Thoracic Surgery Short Reports
Ann Thorac Surg Short Rep 2025; 3: 106-108
DOI: 10.1016/j.atssr.2024.09.006

Abstract
A 25-week preterm neonate was born with complete left-sided partial anomalous pulmonary venous drainage with a confluence draining into a vertical vein to the innominate vein. The ostium was stenotic, resulting in pulmonary hypertension requiring palliation by serial stent placement because of prematurity and comorbidities. The patient subsequently underwent successful surgical left anomalous pulmonary venous confluence reimplantation to the left atrium with vertical vein ligation at 12 months of age. This report highlights the unique multidisciplinary management strategy required for the rarely encountered obstructed complete left-sided anomalous pulmonary venous return in a preterm neonate.

Category
Class II. Pulmonary Hypertension Associated with Pulmonary Vein Stenosis

Age Focus: Pediatric Pulmonary Vascular Disease

Fresh or Filed Publication: Fresh (PHresh). Less than 1-2 years since publication

Article Access
Free PDF File or Full Text Article Available Through PubMed or DOI: Yes

Scroll to Top