Clinical implications of partial anomalous pulmonary venous connection: a rare cause of severe pulmonary arterial hypertension

Isolated partial anomalous pulmonary venous connection (PAPVC) is an uncommon congenital heart anomaly that is sporadically associated with pulmonary arterial hypertension in the adult population. The diagnosis and therapy for this condition are challenging. We report on three cases of patients with...

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Main Authors: Alex Pizzini, Thomas Sonnweber, Renate Frank, Markus Theurl, Günter Weiss, Ivan Tancevski, Judith Löffler-Ragg
Format: Article
Language:English
Published: Wiley 2020-03-01
Series:Pulmonary Circulation
Online Access:https://doi.org/10.1177/2045894019885352
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author Alex Pizzini
Thomas Sonnweber
Renate Frank
Markus Theurl
Günter Weiss
Ivan Tancevski
Judith Löffler-Ragg
author_facet Alex Pizzini
Thomas Sonnweber
Renate Frank
Markus Theurl
Günter Weiss
Ivan Tancevski
Judith Löffler-Ragg
author_sort Alex Pizzini
collection DOAJ
description Isolated partial anomalous pulmonary venous connection (PAPVC) is an uncommon congenital heart anomaly that is sporadically associated with pulmonary arterial hypertension in the adult population. The diagnosis and therapy for this condition are challenging. We report on three cases of patients with unexpected severe precapillary pulmonary hypertension in single PAPVC treated with an upfront pulmonary arterial hypertension-specific combination therapy. Our cases indicate that the combination of PAPVC and pulmonary comorbidities may trigger the development of severe pulmonary arterial hypertension. The initiation of pulmonary arterial hypertension-targeted combination therapy revealed to be a safe and efficacious strategy for patients with PAPVC-associated severe pulmonary arterial hypertension.
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spelling doaj.art-1caab4064cfe41a5a9d0d177bc6ae3662022-12-22T02:40:32ZengWileyPulmonary Circulation2045-89402020-03-011010.1177/2045894019885352Clinical implications of partial anomalous pulmonary venous connection: a rare cause of severe pulmonary arterial hypertensionAlex Pizzini0Thomas Sonnweber1Renate Frank2Markus Theurl3Günter Weiss4Ivan Tancevski5Judith Löffler-Ragg6Department of Internal Medicine II, Infectious Diseases, Pneumology, Rheumatology, Medical University of Innsbruck, Innsbruck, AustriaDepartment of Internal Medicine II, Infectious Diseases, Pneumology, Rheumatology, Medical University of Innsbruck, Innsbruck, AustriaDepartment of Radiology, Medical University of Innsbruck, Innsbruck, AustriaDepartment of Internal Medicine III (Cardiology, Angiology), Medical University of Innsbruck, Innsbruck, AustriaDepartment of Internal Medicine II, Infectious Diseases, Pneumology, Rheumatology, Medical University of Innsbruck, Innsbruck, AustriaDepartment of Internal Medicine II, Infectious Diseases, Pneumology, Rheumatology, Medical University of Innsbruck, Innsbruck, AustriaDepartment of Internal Medicine II, Infectious Diseases, Pneumology, Rheumatology, Medical University of Innsbruck, Innsbruck, AustriaIsolated partial anomalous pulmonary venous connection (PAPVC) is an uncommon congenital heart anomaly that is sporadically associated with pulmonary arterial hypertension in the adult population. The diagnosis and therapy for this condition are challenging. We report on three cases of patients with unexpected severe precapillary pulmonary hypertension in single PAPVC treated with an upfront pulmonary arterial hypertension-specific combination therapy. Our cases indicate that the combination of PAPVC and pulmonary comorbidities may trigger the development of severe pulmonary arterial hypertension. The initiation of pulmonary arterial hypertension-targeted combination therapy revealed to be a safe and efficacious strategy for patients with PAPVC-associated severe pulmonary arterial hypertension.https://doi.org/10.1177/2045894019885352
spellingShingle Alex Pizzini
Thomas Sonnweber
Renate Frank
Markus Theurl
Günter Weiss
Ivan Tancevski
Judith Löffler-Ragg
Clinical implications of partial anomalous pulmonary venous connection: a rare cause of severe pulmonary arterial hypertension
Pulmonary Circulation
title Clinical implications of partial anomalous pulmonary venous connection: a rare cause of severe pulmonary arterial hypertension
title_full Clinical implications of partial anomalous pulmonary venous connection: a rare cause of severe pulmonary arterial hypertension
title_fullStr Clinical implications of partial anomalous pulmonary venous connection: a rare cause of severe pulmonary arterial hypertension
title_full_unstemmed Clinical implications of partial anomalous pulmonary venous connection: a rare cause of severe pulmonary arterial hypertension
title_short Clinical implications of partial anomalous pulmonary venous connection: a rare cause of severe pulmonary arterial hypertension
title_sort clinical implications of partial anomalous pulmonary venous connection a rare cause of severe pulmonary arterial hypertension
url https://doi.org/10.1177/2045894019885352
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