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  • Title: Transseptal stent treatment of anastomotic stricture after repair of partial anomalous pulmonary venous return.
    Author: Dieter RS, Nelson B, Wolff MR, Thornton F, Grist TM, Cohen DM.
    Journal: J Endovasc Ther; 2003 Aug; 10(4):838-42. PubMed ID: 14533955.
    Abstract:
    PURPOSE: To report the endovascular treatment of a stenosis of the pulmonary venous anastomosis following surgical treatment for partial anomalous pulmonary venous return. CASE REPORT: A 60-year-old man presented with recurrent pleural effusions after correction of a partial anomalous left pulmonary venous return. Magnetic resonance imaging demonstrated focal stenosis at the anastomosis of the anomalous pulmonary vein to the left atrial appendage. Using a transseptal approach, the pulmonary vein stenosis was accessed and successfully stented. The patient's symptoms improved, and follow-up imaging demonstrated a patent stent without residual pressure gradient. CONCLUSIONS: Endovascular repair of a stenosis at the anastomosis of an anomalous pulmonary vein is possible and should be considered as a treatment option for this lesion.
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