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Case Reports

Percutaneous Atrioseptostomy for Right Heart Failure After Left Pneumonectomy

^a Department of Vascular and Thoracic Surgery, Hôpital Arnaud de Villeneuve, Montpellier, France
^b Department of Cardiology, Hôpital Arnaud de Villeneuve, Montpellier, France
^c Department of Cardiac Surgery, Hôpital Arnaud de Villeneuve, Montpellier, France

Accepted for publication March 25, 2009.

^_* Address correspondence to Dr D'Annoville, Department of Vascular and Thoracic Surgery, Hôpital Arnaud de Villeneuve, 191 Ave Doyen Gaston Giraud, Montpellier, 34090, France (Email: tomadano1{at}hotmail.fr).

We present a case of right heart failure after left pneumonectomy as a result of an isolated, contralateral partial anomalous pulmonary venous return. We successfully treated this with percutaneous atrioseptostomy. For unstable patients with postoperative acute heart failure from an undetected partial anomalous pulmonary venous return, this minimally invasive procedure represents a useful primary option while allowing secondary conventional surgery if required.