[HSF] anomalous partial PV and PAH

[prasannasimha]

How many pulmonary segments are draining to the RA ? if it is less than 
8-10' I would not think that his RV failure is due to that. If his PVR 
is 12 Wood Units, I do not think his chest X Ray would be 
"unremarkable". In fact diversion if that high and for a single lobe 
would be pretty painful, higher chances of anastomotic problems and 
would not help. Something is not right - here.
Prasanna
Tea Acuff wrote:
> 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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