Abstract
We describe the case of a patient with the Carney syndrome and several resections for recurrent left atrial myxomas who underwent autotransplantation of the heart with resection of the left and right atria and reconstruction of both atria with bovine pericardium. She subsequently presented with severe shortness of breath, ascites, and peripheral edema. She was found to have stenosis of all four pulmonary veins and severe pulmonary hypertension. We describe the echocardiographic findings and review the literature on assessment of acquired pulmonary vein stenosis.
MeSH terms
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Cardiac Surgical Procedures / adverse effects*
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Echocardiography, Doppler, Color
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Echocardiography, Transesophageal
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Female
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Heart Atria / pathology
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Heart Atria / surgery
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Heart Neoplasms / surgery
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Heart Transplantation
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Humans
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Hypertension, Pulmonary / diagnostic imaging
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Hypertension, Pulmonary / etiology*
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Hypertension, Pulmonary / surgery
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Middle Aged
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Myxoma / surgery
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Neoplasm Recurrence, Local / surgery
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Pulmonary Veno-Occlusive Disease / diagnostic imaging
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Pulmonary Veno-Occlusive Disease / etiology*
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Pulmonary Veno-Occlusive Disease / surgery
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Reoperation
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Thoracotomy
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Transplantation, Autologous