Abstract
We report a case of surgically repaired symptomatic mitral valve regurgitation (MR)
in a 61-year-old woman with anomalous unilateral single pulmonary vein. A two-staged
surgery was scheduled; first a catheter embolization of anomalous vessel to avoid
recirculation of the blood into the left atrium during cardiopulmonary bypass, and
second a mitral valve repair via right lateral thoracotomy.
Learning objective
Scimitar sign is a horn-like shape on plain chest radiograph. One of the possible
diagnoses is partial anomalous pulmonary venous return (APVR), which often requires
surgical interventions due to comorbidities of congenital heart disease and recurrent
pneumonia [1–3]. Another is anomalous unilateral single pulmonary vein (AUSPV), which
is generally asymptomatic, and therefore, requires no medical interventions. This
case addresses the advantage of multidetector computed tomography (CT) and the safety
of two-staged strategy.
Abbreviations:
MR (Mitral valve Regurgitation), APVR (Partial Anomalous Pulmonary Venous Return), AUSPV (Anomalous Unilateral Single Pulmonary Vein), CT (Computed Tomography), LA (Left Atrium), LV (Left Ventricle), PV (Pulmonary Vein), IVC (Inferior Vena Cava), MICS (Minimally Invasive Cardiac Surgery)Keywords
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References
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Article info
Publication history
Published online: March 01, 2023
Accepted:
January 27,
2023
Received in revised form:
January 4,
2023
Received:
November 5,
2022
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2023 Japanese College of Cardiology. Published by Elsevier Ltd. All rights reserved.
