[HSF] anomalous partial PV and PAH

[Dr Patricio Villanueva]

Not another congenital anomaly?
So higher pulmonary resistance for a left upper lobe anoumaolous pulmonary 
venous drainage??????

Patricio
----- Original Message ----- 
From: "Tea Acuff" <tacuff at swbell.net>
To: "OpenHeart-L" <OpenHeart-L at lists.hsforum.com>
Sent: Thursday, December 07, 2006 6:15 PM
Subject: [HSF] anomalous partial PV and PAH


I was asked to fix an anomaolous pulmonary venous drainage of the left upper 
lobe  to a small vertical vein connected to the innominate vein in a 35 year 
old welder. He has RV failure with Class iii-iv symptoms. His pumonary 
resistance is 12 Woods units and his PA and RV systolic pressures are in the 
80's and do not respond to dilatory agents. His PA are large and his chest 
xray mostly unremarkable.
Two questions:
1) Is this PV drainage likely causative of or contributory to the PAH?
2)Would repair help?
I said not likely on either, but would ask for other opinions.
Tea
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