Congenital descending aorta to pulmonary vein fistula: an unusual cause of left ventricular dilation in a 21-year-old female.

ABSTRACT:

Background

Congenital descending aorta to pulmonary vein fistula (cDAPVF) is a rare congenital vascular malformation diagnosed in infancy and childhood. Adult cDAPVF is often asymptomatic and usually detected incidentally by imaging. At present, cases of adults with an enlarged left heart due to cDAPVF have rarely been reported.

Case presentation

We reported a case of 21-year-old female who presented with an unexplained continuousmurmur and left ventricular enlargement followed up for 6 years. The patient developed chest tightness five days ago. The patient was diagnosed with cDAPVF, as revealed by echocardiography combined with computed tomography angiography (CTA). The patient underwent arteriovenous embolization, with satisfactory improvement in symptoms and left ventricu

SUBMITTER: Pan X 

PROVIDER: S-EPMC12661807 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature