Partial anomalous pulmonary venous return in a patient undergoing left upper lobectomy for adenocarcinoma of the lung: A case report

• Published in: International journal of surgery case reports Vol. 76; pp. 90 - 93
• Main Authors: Verma, Ankit, Jacobson, Xander, Nordick, Katherine, Nicchi, Vincent, Balters, Marcus
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier Ltd 01.01.2020; Elsevier
• Subjects: Adenocarcinoma; Case Report; Lobectomy; Partial anomalous pulmonary venous return; Adenocarcinoma; Case report; Lobectomy; Partial anomalous pulmonary venous return
• ISSN: 2210-2612; 2210-2612
• DOI: 10.1016/j.ijscr.2020.09.153

•Surgical management of left superior pulmonary venous return directly to the left innominate/brachiocephalic vein in patient with pulmonary adenocarcinoma.•Left upper lobectomy in patient with adenocarcinoma of the lung in the presence of partial anomalous pulmonary venous return.•Case report describing operative management of adenocarcinoma of the lung in a patient afflicted with partial anomalous pulmonary venous return of left superior pulmonary vein into the left brachiocephalic vein. Partial anomalous pulmonary venous return (PAPVR) is a rare congenital heart disease that complicates surgical management of pulmonary pathology. This case describes the successful management of a 73-year-old female with a left upper lobe adenocarcinoma and pre-operative discovery of left superior anomalous pulmonary venous return into the innominate vein. This patient presented to our clinic for evaluation regarding her newly discovered adenocarcinoma of the lung. Here, we also discuss findings in the literature for management of these patients regarding the importance of preoperative evaluation to determine the extent to which a lobectomy will alter pulmonary function with special emphasis on identifying patients at risk of increased shunting leading to cardiopulmonary failure. Consideration should focus on the extent of the shunting, the presence of symptoms, and underlying right heart strain or pulmonary hypertension.