THE ASSOCIATION OF partial anomalous pulmonary venous return (PAPVR) with atrial septal
defect (ASD) is not unusual. Rarely, PAPVR of the left side or right side is associated
with an intact atrial septum (IAS). The combination of acquired rheumatic mitral stenosis
(MS) with PAPVR and IAS is very rare, and its pathophysiology is complex. The successful
anesthetic management of an adult who presented for surgery for rheumatic MS and was
incidentally found to have PAPVR of the left side with an IAS is presented here. Anesthetic
implications of such a rare combination of congenital and acquired heart disease are
discussed.
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Article info
Footnotes
Linda Shore-Lesserson, MD
Mark A. Chaney, MD
Section Editors
Identification
Copyright
© 2008 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
