29. CLINICAL AND SUB-CLINICAL CHARACTERISTICS OF ANOMALOUS PULMONARY VENOUS RETURN WITH INDIANTIONS FOR SURGERY
Main Article Content
Abstract
Objective: Describe clinical and subclinical features in anomalous pulmonary venous return with indications for surgery.
Subjects and methods: The study described 65 cases of anomalous pulmonary venous return with indications for surgery at Hanoi Heart Hospital between 2016 and 2021.
Results: All patients had heart failure of grade I or higher according to Ross and NYHA classification. Clinical features are mostly rapid pulse 50.77%; dyspnea with 36.07%; cyanosis of the lips in 31.15% and 27.69% of patients presenting with hepatomegaly. On X-ray images: the proportion of patients with increased cardiothoracic index was 50.77%, pulmonary congestion was 86.15%, interstitial edema was 30.77% of patients. Kerley B line was encountered in 1 patient and there was obstruction. Electrocardiography mainly presents with increased right ventricular burden (20.0%) and right atrial thickening (9.23%).
Conclusion: Predominantly common clinical features include dyspnea, cyanosis of the lips, and hepatomegaly. In addition, clinical myopia shows elevated cardiothoracic index, pulmonary congestion, interstitial edema, and electrocardiography with increased weight.
Article Details
Keywords
Anomalous pulmonary venous return.
References
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