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  • Title: [A rare cause of exertional dyspnea in a 63-year-old woman].
    Author: Miljak T, Birkemeyer R, Jung W.
    Journal: Dtsch Med Wochenschr; 2007 Dec; 132(50):2699-701. PubMed ID: 18058661.
    Abstract:
    HISTORY AND CLINICAL FINDINGS: A 63-year-old woman was referred because of excertional dyspnea, pulmonary artery hypertension and right heart dilatation without evidence of pulmonary embolism. INVESTIGATIONS: Echocardiography, magnetic resonance tomography and right heart catheterisation revealed a left to right shunt through an sinus venosus defect and partial anomalous pulmonary venous return. DIAGNOSIS, TREATMENT AND COURSE: After surgical repair the hemodynamic changes normalized. The patient is doing well 12 weeks after surgery. CONCLUSION: Congenital heart disease should be considered as a rare cause of exertional dyspnea in the elderly. Before percutaneous interventional closure of atrial septal defects, concomitant anomalous partial pulmonary venous return should be ruled out.
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