Article Text

Download PDFPDF
Unique triad of shunts in a patient with paroxysmal palpitations!
  1. Nina Dhillon1 and
  2. Shravan Nosib2
  1. 1Internal Medicine, University of Saskatchewan College of Medicine, Saskatoon, Saskatchewan, Canada
  2. 2Cardiology, University of Saskatchewan, Saskatoon, Saskatchewan, Canada
  1. Correspondence to Dr Shravan Nosib; shravan.nosib{at}gmail.com

Abstract

We present the case of a 34-year-old woman with a rare constellation of congenital cardiovascular defects. She presented with new-onset dyspnoea on exertion and intermittent palpitations. Extensive cardiac workup revealed anomalous drainage of the inferior vena cava and a large secundum atrial septal defect. She underwent surgical repair. Intraoperatively, an additional congenital venous anomaly was discovered, a partial anomalous pulmonary venous connection. Specifically, the right inferior pulmonary vein connected to the inferior vena cava, and together, they drained into the left atrium. On conducting a thorough literature review, we believe this is the first reported case in an adult female.

  • cardiovascular medicine
  • heart failure

Statistics from Altmetric.com

Footnotes

  • Contributors ND was responsible for the literature review and writing of the manuscript. SN was involved in patient care and editing of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer-reviewed.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.