Research Pape: Atypical Pulmonary Venous Drainage Associated with Patent Foramen ovale of heart: A Case Report
Authors: Lorenzo Martin, Joaquín Silva, Augusto Garrido
Summary
Pulmonary venous drainage can exhibit anomalies of significant clinical relevance, often associated with interatrial septal defects. During a cadaveric dissection at the Facultad de Medicina, Universidad de la República, an anomalous pulmonary venous pathway was identified. This variant replaced the right superior pulmonary vein and drained into the superior vena cava (SVC) instead of the left atrium. The anomalous pulmonary veins at the right hilum of lung were carefully dissected, along with the heart (right and left atria), in a female cadaver weighing 45 kg and preserved in formaldehyde. Dissection tools, a digital caliper for measurements, and a Nikon D500 camera for photographic documentation were employed. Five anomalous pulmonary venous branches were identified from the right lung lobe, with lengths ranging from 5 mm to 18 mm, draining into the SVC. Additionally, a patent foramen ovale of heart was observed in the cardiac anatomy. Anomalies in pulmonary venous drainage have critical implications in clinical and surgical settings. A thorough anatomical understanding is essential for any intervention involving the pulmonary vasculature. Several classifications exist for anomalous pulmonary venous drainage, with that of Kirklin and Barret-Boyes being among the most widely referenced. The findings in this case correspond to Type I of this classification, though notably associated with a patent foramen ovale of heart rather than a venous sinus, which is more commonly observed in Type I cases.
Keywords
Pulmonary veins, Anomalous pulmonary, Atrial septal defects, Anatomy, Foramen ovale of heart