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Anomalous pulmonary venous return(APVR)

MedGen UID:
1641363
Concept ID:
C4551905
Congenital Abnormality
Synonyms: Anomalous Pulmonary Venous Return; Pulmonary Venous Return Anomaly
 
HPO: HP:0010772
OMIM®: 106700

Definition

A developmental defect characterized by abnormal connection of one or more pulmonary veins to the superior or inferior vena cava, the right atrium, or the coronary sinus, resulting in a left-to-right shunt of oxygenated blood. [from HPO]

Conditions with this feature

Atrial septal defect 8
MedGen UID:
482420
Concept ID:
C3280790
Congenital Abnormality
Any atrial heart septal defect in which the cause of the disease is a mutation in the CITED2 gene.
Cognitive impairment - coarse facies - heart defects - obesity - pulmonary involvement - short stature - skeletal dysplasia syndrome
MedGen UID:
894554
Concept ID:
C4085597
Disease or Syndrome
CHOPS syndrome is a disorder involving multiple abnormalities that are present from birth (congenital). The name "CHOPS" is an abbreviation for a list of features of the disorder including cognitive impairment, coarse facial features, heart defects, obesity, lung (pulmonary) involvement, short stature, and skeletal abnormalities.\n\nChildren with CHOPS syndrome have intellectual disability and delayed development of skills such as sitting and walking. Characteristic facial features include a round face; thick hair; thick eyebrows that grow together in the middle (synophrys); wide-set, bulging eyes with long eyelashes; a short nose; and down-turned corners of the mouth.\n\nMost affected individuals are born with a heart defect called patent ductus arteriosus (PDA). The ductus arteriosus is a connection between two major arteries, the aorta and the pulmonary artery. This connection is open during fetal development and normally closes shortly after birth. However, the ductus arteriosus remains open, or patent, in babies with PDA. If untreated, this heart defect causes infants to breathe rapidly, feed poorly, and gain weight slowly; in severe cases, it can lead to heart failure. Multiple heart abnormalities have sometimes been found in children with CHOPS syndrome. In addition to PDA, affected individuals may have ventricular septal defect, which is a defect in the muscular wall (septum) that separates the right and left sides of the heart's lower chamber.\n\nPeople with CHOPS syndrome have abnormalities of the throat and airways that cause momentary cessation of breathing while asleep (obstructive sleep apnea). These abnormalities can also cause affected individuals to breathe food or fluids into the lungs accidentally, which can lead to a potentially life-threatening bacterial lung infection (aspiration pneumonia) and chronic lung disease. Affected individuals are shorter than more than 97 percent of their peers and are overweight for their height. They also have skeletal differences including unusually short fingers and toes (brachydactyly) and abnormally-shaped spinal bones (vertebrae).\n\nOther features that can occur in CHOPS syndrome include a small head size (microcephaly); hearing loss; clouding of the lens of the eye (cataract); a single, horseshoe-shaped kidney; and, in affected males, undescended testes (cryptorchidism).
Neurodevelopmental disorder with or without anomalies of the brain, eye, or heart
MedGen UID:
934739
Concept ID:
C4310772
Disease or Syndrome
RERE-related disorders are characterized by neurodevelopmental problems with or without structural anomalies of the eyes, heart, kidneys, and genitourinary tract and mild sensorineural hearing loss. Hypotonia and feeding problems are common among affected individuals. Developmental delay and intellectual disability range from mild to profound. Behavior problems may include attention-deficit/hyperactivity disorder, self-injurious behavior, and autism spectrum disorder. A variety of eye anomalies (coloboma, optic nerve anomalies, microphthalmia, and/or Peter's anomaly) and vision issues (myopia, anisometropia, astigmatism, exotropia, esotropia) have been reported. Congenital heart defects, most commonly septal defects, have also been described. Genitourinary abnormalities include vesicoureteral reflux, and cryptorchidism and hypospadias in males. Sensorineural hearing loss can be unilateral or bilateral.
Congenital heart defects, multiple types, 8, with or without heterotaxy
MedGen UID:
1794252
Concept ID:
C5562042
Disease or Syndrome
Multiple types of congenital heart defects-8 (CHTD8) is characterized by cardiac septal defects, double-outlet right ventricle, unbalanced complete atrioventricular canal, and valvular anomalies, as well as vascular anomalies including dextroposition of the great arteries, anomalous pulmonary venous return, and superior vena cava to left atrium defect. Patients may also exhibit laterality defects, including dextrocardia, atrial isomerism, dextrogastria, left-sided gallbladder, and intestinal malrotation (Zaidi et al., 2013; Granadillo et al., 2018).

Professional guidelines

PubMed

Freud LR, Seed M
Can J Cardiol 2022 Jul;38(7):897-908. Epub 2022 Apr 13 doi: 10.1016/j.cjca.2022.04.003. PMID: 35429589
Bakker MK, Bergman JEH, Krikov S, Amar E, Cocchi G, Cragan J, de Walle HEK, Gatt M, Groisman B, Liu S, Nembhard WN, Pierini A, Rissmann A, Chidambarathanu S, Sipek A Jr, Szabova E, Tagliabue G, Tucker D, Mastroiacovo P, Botto LD
BMJ Open 2019 Jul 2;9(7):e028139. doi: 10.1136/bmjopen-2018-028139. PMID: 31270117Free PMC Article
Deeg KH
Ultraschall Med 2015 Apr;36(2):104-18; quiz 119-20. Epub 2014 Dec 4 doi: 10.1055/s-0034-1385493. PMID: 25474186

Recent clinical studies

Etiology

Shi G, Zhu F, Wen C, Yan Y, Zhang H, Zhu Z, Chen H
J Thorac Cardiovasc Surg 2023 Feb;165(2):449-459.e4. Epub 2022 Apr 19 doi: 10.1016/j.jtcvs.2022.03.036. PMID: 35570017
Glenn T, Honold J, Printz BF, Mueller D
Cardiol Young 2022 Apr;32(4):668-670. Epub 2021 Sep 6 doi: 10.1017/S1047951121003565. PMID: 34486517
Anderson KN, Lind JN, Simeone RM, Bobo WV, Mitchell AA, Riehle-Colarusso T, Polen KN, Reefhuis J
JAMA Psychiatry 2020 Dec 1;77(12):1246-1255. doi: 10.1001/jamapsychiatry.2020.2453. PMID: 32777011Free PMC Article
Bakker MK, Bergman JEH, Krikov S, Amar E, Cocchi G, Cragan J, de Walle HEK, Gatt M, Groisman B, Liu S, Nembhard WN, Pierini A, Rissmann A, Chidambarathanu S, Sipek A Jr, Szabova E, Tagliabue G, Tucker D, Mastroiacovo P, Botto LD
BMJ Open 2019 Jul 2;9(7):e028139. doi: 10.1136/bmjopen-2018-028139. PMID: 31270117Free PMC Article
Chowdhury MM, Chakraborty S
Semin Pediatr Surg 2015 Aug;24(4):168-75. Epub 2015 Feb 27 doi: 10.1053/j.sempedsurg.2015.02.001. PMID: 26051049

Diagnosis

Bergmann LL, Ackman JB, Starekova J, Moeller A, Reeder S, Nagle SK, Schiebler ML
Magn Reson Imaging Clin N Am 2023 Aug;31(3):475-491. doi: 10.1016/j.mric.2023.05.004. PMID: 37414473
Chang CC, Lin CY
Radiology 2022 Mar;302(3):513. Epub 2021 Nov 23 doi: 10.1148/radiol.2021212103. PMID: 34812673
Glenn T, Honold J, Printz BF, Mueller D
Cardiol Young 2022 Apr;32(4):668-670. Epub 2021 Sep 6 doi: 10.1017/S1047951121003565. PMID: 34486517
Bakker MK, Bergman JEH, Krikov S, Amar E, Cocchi G, Cragan J, de Walle HEK, Gatt M, Groisman B, Liu S, Nembhard WN, Pierini A, Rissmann A, Chidambarathanu S, Sipek A Jr, Szabova E, Tagliabue G, Tucker D, Mastroiacovo P, Botto LD
BMJ Open 2019 Jul 2;9(7):e028139. doi: 10.1136/bmjopen-2018-028139. PMID: 31270117Free PMC Article
Gallego C, Miralles M, Marín C, Muyor P, González G, García-Hidalgo E
Radiographics 2004 May-Jun;24(3):755-72. doi: 10.1148/rg.243035046. PMID: 15143226

Therapy

Nitzan I, Abu Omar R, Mimouni FB, Burshtein-Sorotzkin D, Algavish-Landau N, Attia-Reches S
J Perinatol 2023 Mar;43(3):300-304. Epub 2023 Jan 31 doi: 10.1038/s41372-023-01624-5. PMID: 36720984
Anderson KN, Lind JN, Simeone RM, Bobo WV, Mitchell AA, Riehle-Colarusso T, Polen KN, Reefhuis J
JAMA Psychiatry 2020 Dec 1;77(12):1246-1255. doi: 10.1001/jamapsychiatry.2020.2453. PMID: 32777011Free PMC Article
Hongu H, Yamagishi M, Maeda Y, Itatani K, Asada S, Fujita S, Yaku H
J Thorac Cardiovasc Surg 2019 May;157(5):1970-1977. Epub 2019 Jan 26 doi: 10.1016/j.jtcvs.2019.01.057. PMID: 30824350
Ross FJ, Joffe D, Latham GJ
Semin Cardiothorac Vasc Anesth 2017 Jun;21(2):138-144. Epub 2016 Sep 29 doi: 10.1177/1089253216672012. PMID: 27694572
Lacour-Gayet F
Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu 2006:45-50. doi: 10.1053/j.pcsu.2006.02.010. PMID: 16638547

Prognosis

Shi G, Zhu F, Wen C, Yan Y, Zhang H, Zhu Z, Chen H
J Thorac Cardiovasc Surg 2023 Feb;165(2):449-459.e4. Epub 2022 Apr 19 doi: 10.1016/j.jtcvs.2022.03.036. PMID: 35570017
Freud LR, Seed M
Can J Cardiol 2022 Jul;38(7):897-908. Epub 2022 Apr 13 doi: 10.1016/j.cjca.2022.04.003. PMID: 35429589
Abdel Razek AAK, Al-Marsafawy H, Elmansy M, El-Latif MA, Sobh D
J Comput Assist Tomogr 2019 May/Jun;43(3):399-405. doi: 10.1097/RCT.0000000000000857. PMID: 31082945
Korkmaz AA, Yildiz CE, Onan B, Guden M, Cetin G, Babaoglu K
J Card Surg 2011 Sep;26(5):529-34. Epub 2011 Aug 31 doi: 10.1111/j.1540-8191.2011.01309.x. PMID: 21883462
Gallego C, Miralles M, Marín C, Muyor P, González G, García-Hidalgo E
Radiographics 2004 May-Jun;24(3):755-72. doi: 10.1148/rg.243035046. PMID: 15143226

Clinical prediction guides

Poelmann RE, Jongbloed MRM, DeRuiter MC
Adv Exp Med Biol 2024;1441:599-614. doi: 10.1007/978-3-031-44087-8_34. PMID: 38884736
Cavalla F, Nuri HA, Pomè G, Cipriani A
Cardiol Young 2023 May;33(5):699-703. Epub 2022 May 18 doi: 10.1017/S1047951122001494. PMID: 35582989
Shi G, Zhu F, Wen C, Yan Y, Zhang H, Zhu Z, Chen H
J Thorac Cardiovasc Surg 2023 Feb;165(2):449-459.e4. Epub 2022 Apr 19 doi: 10.1016/j.jtcvs.2022.03.036. PMID: 35570017
Anderson KN, Lind JN, Simeone RM, Bobo WV, Mitchell AA, Riehle-Colarusso T, Polen KN, Reefhuis J
JAMA Psychiatry 2020 Dec 1;77(12):1246-1255. doi: 10.1001/jamapsychiatry.2020.2453. PMID: 32777011Free PMC Article
Słodki M, Respondek-Liberska M, Pruetz JD, Donofrio MT
J Perinatol 2016 Aug;36(8):575-80. Epub 2016 Mar 10 doi: 10.1038/jp.2016.20. PMID: 26963427

Recent systematic reviews

Kulkarni A, Patel N, Singh TP, Mossialos E, Mehra MR
J Heart Lung Transplant 2019 Jul;38(7):739-747. Epub 2019 Apr 4 doi: 10.1016/j.healun.2019.04.001. PMID: 31006521
Jentink J, Dolk H, Loane MA, Morris JK, Wellesley D, Garne E, de Jong-van den Berg L; EUROCAT Antiepileptic Study Working Group
BMJ 2010 Dec 2;341:c6581. doi: 10.1136/bmj.c6581. PMID: 21127116Free PMC Article

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