EJMCR. 2020; 4(8): 270-274

The enigmatic challenge: secondary pulmonary arterial hypertension due to partial anomalous pulmonary venous return in a young woman

Authors: Ecaterina Sedaia, Valeriu Revenco, Andrei Esanu, Inesa Gutan, Viorica Ochisor, Alexandr Vascenco.

ABSTRACT

Background: Pulmonary arterial hypertension (PAH) involves many different clinical conditions and has an important impact on the right ventricular (RV) function and patient’s prognosis. Some of these conditions can be potentially curable, for example, congenital heart disease that could be surgically repaired. Case Presentation: We present a case of 41-year-old woman with a progressive shortness of breath, without evident explication. First, she was suspected to have chronic thromboembolic PAH, which was not confirmed by clinical and imaging data. Even arrhythmogenic RV cardiomyopathy was suspected according to the data obtained from the first cardiac magnetic resonance (CMR) imaging. However, due to a step-up in oxygen saturation during the right heart catheterization (RHC), the presence of rare congenital heart disease, such as partial anomalous of pulmonary venous return (PAPVR), was suspected and then confirmed by the repeated CMR. Conclusions: PAPVR is a rare congenital heart disease that could be suspected during the RHC and represents a potentially curable cause of PAH.

Keywords:
Partial anomalous pulmonary venous return, pulmonary arterial hypertension, right ventricle, cardiac magnetic resonance, right heart catheterization


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The enigmatic challenge: secondary pulmonary arterial hypertension due to partial anomalous pulmonary venous return in a young woman


Authors
Ecaterina Sedaia
State University of Medicine and Pharmacy “Nicolae Testemitanu,” Department of Internal Medicine, Cardiology, Chisinau, Republic of Moldova
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Valeriu Revenco
State University of Medicine and Pharmacy “Nicolae Testemitanu,” Department of Internal Medicine, Cardiology, Chisinau, Republic of Moldova
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Andrei Esanu
State University of Medicine and Pharmacy “Nicolae Testemitanu,” Department of Internal Medicine, Cardiology, Chisinau, Republic of Moldova
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Inesa Gutan
State University of Medicine and Pharmacy “Nicolae Testemitanu,” Department of Internal Medicine, Cardiology, Chisinau, Republic of Moldova
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Viorica Ochisor
State University of Medicine and Pharmacy “Nicolae Testemitanu,” Department of Internal Medicine, Cardiology, Chisinau, Republic of Moldova
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Alexandr Vascenco
Department of Arterial Hypertension, Institute of Cardiology, Chisinau, Republic of Moldova
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Correspondence to:
. Ecaterina Sedaia, State University of Medicine and Pharmacy “Nicolae Testemitanu,” Department of Internal Medicine, Cardiology, Chisinau, Republic of Moldova.; ecaterina.sedaia@gmail.com

Publication history
Received 11 Jun 2020
Accepted 05 Jul 2020
Published online 11 Aug 2020
Published in print 26 Aug 2020

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Pubmed Style

Sedaia E, Revenco V, Esanu A, Gutan I, Ochisor V, Vascenco A. The enigmatic challenge: secondary pulmonary arterial hypertension due to partial anomalous pulmonary venous return in a young woman. EJMCR. 2020; 4(8): 270-274. doi:10.24911/ejmcr/173-1591904275


Web Style

Sedaia E, Revenco V, Esanu A, Gutan I, Ochisor V, Vascenco A. The enigmatic challenge: secondary pulmonary arterial hypertension due to partial anomalous pulmonary venous return in a young woman. https://www.ejmcr.com/?mno=114385 [Access: September 24, 2020]. doi:10.24911/ejmcr/173-1591904275


AMA (American Medical Association) Style

Sedaia E, Revenco V, Esanu A, Gutan I, Ochisor V, Vascenco A. The enigmatic challenge: secondary pulmonary arterial hypertension due to partial anomalous pulmonary venous return in a young woman. EJMCR. 2020; 4(8): 270-274. doi:10.24911/ejmcr/173-1591904275


Vancouver/ICMJE Style

Sedaia E, Revenco V, Esanu A, Gutan I, Ochisor V, Vascenco A. The enigmatic challenge: secondary pulmonary arterial hypertension due to partial anomalous pulmonary venous return in a young woman. EJMCR. (2020), [cited September 24, 2020]; 4(8): 270-274. doi:10.24911/ejmcr/173-1591904275


Harvard Style

Sedaia, E., Revenco, . V., Esanu, . A., Gutan, . I., Ochisor, . V. & Vascenco, . A. (2020) The enigmatic challenge: secondary pulmonary arterial hypertension due to partial anomalous pulmonary venous return in a young woman. EJMCR, 4 (8), 270-274. doi:10.24911/ejmcr/173-1591904275


Turabian Style

Sedaia, Ecaterina, Valeriu Revenco, Andrei Esanu, Inesa Gutan, Viorica Ochisor, and Alexandr Vascenco. 2020. The enigmatic challenge: secondary pulmonary arterial hypertension due to partial anomalous pulmonary venous return in a young woman. European Journal of Medical Case Reports, 4 (8), 270-274. doi:10.24911/ejmcr/173-1591904275


Chicago Style

Sedaia, Ecaterina, Valeriu Revenco, Andrei Esanu, Inesa Gutan, Viorica Ochisor, and Alexandr Vascenco. "The enigmatic challenge: secondary pulmonary arterial hypertension due to partial anomalous pulmonary venous return in a young woman." European Journal of Medical Case Reports 4 (2020), 270-274. doi:10.24911/ejmcr/173-1591904275


MLA (The Modern Language Association) Style

Sedaia, Ecaterina, Valeriu Revenco, Andrei Esanu, Inesa Gutan, Viorica Ochisor, and Alexandr Vascenco. "The enigmatic challenge: secondary pulmonary arterial hypertension due to partial anomalous pulmonary venous return in a young woman." European Journal of Medical Case Reports 4.8 (2020), 270-274. Print. doi:10.24911/ejmcr/173-1591904275


APA (American Psychological Association) Style

Sedaia, E., Revenco, . V., Esanu, . A., Gutan, . I., Ochisor, . V. & Vascenco, . A. (2020) The enigmatic challenge: secondary pulmonary arterial hypertension due to partial anomalous pulmonary venous return in a young woman. European Journal of Medical Case Reports, 4 (8), 270-274. doi:10.24911/ejmcr/173-1591904275


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