[HSF] anomalous partial PV and PAH

[Tea Acuff]

Thanks all for the confirmation. The case was referred by an adult pulmonologist, and the sats/pressures obtained by an adult cardiologist. The pulmonolgist had no etiology for  the hypertension and thought that it was less common in young males, so assumed the aPV played a role.  I felt it was incidental. I doubt that the aPV represents more than 10-20% of total pulmonary flow. I'll review the CXR critically as I studied the CT instead, Prasanna.

Thanks again. I am sure it will bring some impact that "surgeons all over the world" agree so they (the family) can focus on the real problems they face.
Tea 


----- Original Message ----
From: prasannasimha <prasannasimha at gmail.com>
To: OpenHeart-L at lists.hsforum.com
Sent: Thursday, December 7, 2006 8:43:46 PM
Subject: Re: [HSF] anomalous partial PV and PAH


I could not agree better but the funny thing was why is he being 
referred for cardiac surgery ? If they referred such a patient for 
surgery , maybe the cardiologist just plain missed something else !!
Prasanna
ICHFNO at aol.com wrote:
> Isolated single pulmonary veing anomalous drainage is not an indication for  
> operative intervention. Even if they had demonstrated obstruction in this 1 
> vein  it is unlikely that as an isolated entity it would raise the PAp and PVR, 
> the  remainder of the pulmonary vasculature would more than compensate for 
> this and  the patient would still have a normal PAp and PVR. The answers are in 
> order, no  and no. Perhaps then they could place mulitple stents in the 
> vertical vein and  place the patient on Plavix, ASA and Persantine for the rest of 
> his  life.
>  
>  
>  
> William M  Novick MD
> Paul Nemir Jr., MD Professor
> International Child Health and  Surgery
> University of Tennessee Health Sciences Center
> Founder and Medical  Director
> International Children's Heart  Foundation
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