Minimally Invasive Surgical Repair of Left- Sided Partial Anomalous Pulmonary Venous Connection: A Case Report


  • Olivier Jegaden Department of cardiac surgery, Mediclinic Middle East, MBRU, Dhabi, UAE
  • Adel Al Shamry Department of cardiac surgery and ICU, Saudi German Hospital, Dubai, UAE
  • Abdulah Al Ajami Department of cardiac surgery, Hospital Louis Pradel, HCL, Lyon, France
  • Zubin Nalladaru Department of cardiac surgery, Mediclinic Middle East, MBRU, Dhabi, UAE
  • Salah Ashafy Department of cardiac surgery, Zayed military hospital, AbuDhabi, UAE


Left side atrial anomalous pulmonary venous connection (PAPVC) is a rare entity. We report one case
surgical treated off-pump with minimally invasive approach.
We present a case of left side PAPVC with a non-significant atrial septal defect (ASD) in an asymptomatic
40-year old patient. Angiographic computed tomography (CT) scan has confirmed the diagnosis of
vertical vein between left superior pulmonary vein and left brachiocephalic vein, responsible of a
significant shunt and right heart dilation. Surgical repair consisted of implantation of the vertical vein
into the left appendage through a left mini-thoracotomy and video-assistance. Outcome was event free
and patient was discharged on day 4.
Conclusion: Off-pump minimally invasive surgical repair of left side PAPVC is safe, effective and easily
reproducible. Possible associated ASD may be treated with hybrid approach and percutaneous closure
if indicated.