{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T20:08:15Z","timestamp":1790712495727,"version":"4.1.0"},"reference-count":10,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2015,9,1]],"date-time":"2015-09-01T00:00:00Z","timestamp":1441065600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2015,9,1]],"date-time":"2015-09-01T00:00:00Z","timestamp":1441065600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Pulm. circ."],"published-print":{"date-parts":[[2015,9]]},"abstract":"<jats:p>We report a rare case in an 86\u2010year\u2010old woman with symptoms of exercise intolerance, fatigability, worsening lower extremity edema, and normal ejection fraction on echocardiographic examination who presented with a presumptive diagnosis of heart failure with preserved ejection fraction (HFpEF). Hemodynamic studies revealed that she had normal left\u2010sided filling pressures, mildly elevated pulmonary pressures with normal pulmonary vasculature resistance, and evidence of right ventricular dysfunction. Significant shunting was also detected with a step\u2010up blood oxygen saturation from superior vena cava to right atrium and a calculated pulmonary\u2010to\u2010systemic blood flow ratio of 3.9. Contrast\u2010enhanced multidetector cardiac computed tomography confirmed the presence of a patent foramen ovale, a sinus venosus atrial septal defect, and 3 anomalous pulmonary venous communications to the right atrium and superior vena cava. We hereby present one of the oldest diagnosed cases of sinus venosus defect with anomalous pulmonary venous return as a rare cause of recent\u2010onset dyspnea, volume overload, and functional intolerance in an 86\u2010year\u2010old woman with an initial misdiagnosis of HFpEF.<\/jats:p>","DOI":"10.1086\/682429","type":"journal-article","created":{"date-parts":[[2015,7,31]],"date-time":"2015-07-31T17:07:22Z","timestamp":1438362442000},"page":"587-589","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Never Too Old for Congenital Heart Disease: Sinus Venosus Atrial Septal Defect with Anomalous Pulmonary Venous Return in an Octogenarian"],"prefix":"10.1002","volume":"5","author":[{"given":"Ravi K.","family":"Sharma","sequence":"first","affiliation":[{"name":"Division of Cardiology Department of Medicine Johns Hopkins Hospital Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian A.","family":"Houston","sequence":"additional","affiliation":[{"name":"Division of Cardiology Department of Medicine Johns Hopkins Hospital Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo\u00e3o A. C.","family":"Lima","sequence":"additional","affiliation":[{"name":"Division of Cardiology Department of Medicine Johns Hopkins Hospital Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Duke E.","family":"Cameron","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery Johns Hopkins Hospital Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan J.","family":"Tedford","sequence":"additional","affiliation":[{"name":"Division of Cardiology Department of Medicine Johns Hopkins Hospital Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,9]]},"reference":[{"key":"e_1_2_4_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2007.05.046"},{"key":"e_1_2_4_3_1","doi-asserted-by":"publisher","DOI":"10.1159\/000006771"},{"key":"e_1_2_4_4_1","doi-asserted-by":"publisher","DOI":"10.1536\/ihj.35.43"},{"key":"e_1_2_4_5_1","volume-title":"Pediatric cardiology","author":"Anderson RH","year":"2002"},{"key":"e_1_2_4_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/1749-8090-6-126"},{"key":"e_1_2_4_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.2007.116392"},{"key":"e_1_2_4_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/RTI.0b013e318194c942"},{"issue":"2","key":"e_1_2_4_9_1","first-page":"3","article-title":"Subcutaneous treprostinil as a bridge to transplant in a case of severe pulmonary arterial hypertension due to partial anomalous pulmonary venous return","volume":"1","author":"Gorbett D","year":"2014","journal-title":"Congenit Heart Dis"},{"key":"e_1_2_4_10_1","doi-asserted-by":"publisher","DOI":"10.1183\/09059180.00003309"},{"key":"e_1_2_4_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1747-0803.2010.00458.x"}],"container-title":["Pulmonary Circulation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1086\/682429","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1086\/682429","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1086\/682429","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,28]],"date-time":"2023-08-28T08:04:17Z","timestamp":1693209857000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1086\/682429"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,9]]},"references-count":10,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2015,9]]}},"alternative-id":["10.1086\/682429"],"URL":"https:\/\/doi.org\/10.1086\/682429","archive":["Portico"],"relation":{},"ISSN":["2045-8940","2045-8940"],"issn-type":[{"value":"2045-8940","type":"print"},{"value":"2045-8940","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,9]]}}}