Bilobectomy in a 49 Years Man Presenting Hemoptysis Associated to a Partial Anomalous Pulmonary Venous Return: A Case Report

M. Abdennadher, Mariem Hadj Dahmane, H. Zribi, I. Bouassida, S. Zairi, S. Hantous, A. Kaddour, H. Smadhi, S. Ouerghi, T. Mestiri, A. Marghli
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Abstract

Partial Anomalous Pulmonary Venous Connection (PAPVC) is a rare congenital abnormality characterized by drainage of one or more pulmonary veins to the right atrium or to one of the systemic veins. This pathology has low prevalence, although it is probably underestimated and is rarely diagnosed in adults. We reported a rare case of hemoptysis in adult associated to isolated partial anomalous pulmonary venous return. He is a patient of 49 years-old man who had a partial anomalous pulmonary venous connection (PAPVC) from the right upper lobe to the superior vena cava without other congenital heart disease. A right bilobectomy (superior and middle lobe) was performed for the treatment for hemoptysis and PAPVC. The patient has an uneventful postoperative recovery and remained well at follow-up 8 months after surgery.
49岁男性因部分肺静脉回流异常伴咯血而行胆管切除术1例
部分肺静脉连接异常(PAPVC)是一种罕见的先天性异常,其特征是一条或多条肺静脉引流到右心房或一条全身静脉。这种病理的患病率很低,尽管它可能被低估了,很少在成人中被诊断出来。我们报告一例罕见的成人咯血与孤立的部分肺静脉回流异常有关。患者49岁,右上肺叶至上腔静脉部分肺静脉连接异常(PAPVC),无其他先天性心脏病。为治疗咯血和PAPVC,行右侧胆管切除术(上叶和中叶)。患者术后恢复良好,术后随访8个月。
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