T Miljak1, R Birkemeyer, W Jung. 1. Klinik für Innere Medizin III / Kardiologie, Schwarzwald-Baar Klinikum Villingen-Schwenningen GmbH, Vöhrenbacher Strasse 23, 78050 VS-Villingen. Tomislav.Miljak@sbk-vs.de
Abstract
HISTORY AND CLINICAL FINDINGS: A 63-year-old woman was referred because of excertional dyspnea, pulmonary artery hypertension and right heart dilatation without evidence of pulmonary embolism. INVESTIGATIONS: Echocardiography, magnetic resonance tomography and right heart catheterisation revealed a left to right shunt through an sinus venosus defect and partial anomalous pulmonary venous return. DIAGNOSIS, TREATMENT AND COURSE: After surgical repair the hemodynamic changes normalized. The patient is doing well 12 weeks after surgery. CONCLUSION: Congenital heart disease should be considered as a rare cause of exertional dyspnea in the elderly. Before percutaneous interventional closure of atrial septal defects, concomitant anomalous partial pulmonary venous return should be ruled out.
HISTORY AND CLINICAL FINDINGS: A 63-year-old woman was referred because of excertional dyspnea, pulmonary artery hypertension and right heart dilatation without evidence of pulmonary embolism. INVESTIGATIONS: Echocardiography, magnetic resonance tomography and right heart catheterisation revealed a left to right shunt through an sinus venosus defect and partial anomalous pulmonary venous return. DIAGNOSIS, TREATMENT AND COURSE: After surgical repair the hemodynamic changes normalized. The patient is doing well 12 weeks after surgery. CONCLUSION:Congenital heart disease should be considered as a rare cause of exertional dyspnea in the elderly. Before percutaneous interventional closure of atrial septal defects, concomitant anomalous partial pulmonary venous return should be ruled out.
Authors: Gitsios Gitsioudis; Evangelos Giannitsis; Waldemar Hosch; Hans U Kauczor; Hugo A Katus; Grigorios Korosoglou Journal: Case Rep Med Date: 2011-10-26