{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:35:02Z","timestamp":1787016902084,"version":"build-2736575974"},"reference-count":8,"publisher":"BMJ","issue":"9","license":[{"start":{"date-parts":[[2021,9,19]],"date-time":"2021-09-19T00:00:00Z","timestamp":1632009600000},"content-version":"unspecified","delay-in-days":18,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,9,5]]},"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:p>Total anomalous pulmonary venous connection (TAPVC) is a rare congenital cardiac anomaly. There are a few reports of untreated TAPVC diagnosed in patients older than 60 years. Herein, we report the successful surgical treatment of TAPVC in a 70-year-old woman. A 70-year-old woman with TAPVC presented with symptoms of acute heart failure. We closed an atrial septal defect and performed tricuspid annuloplasty and commissurotomy of the pulmonary valve. Postoperative CT showed no residual shunt, and the pulmonary veins drained into the left atrium. She had an uneventful postoperative course. This report describes the case of the oldest known patient who underwent surgical treatment for TAPVC. Surviving into adulthood with little or no symptoms is uncommon in patients with TAPVC, and cases of late-onset TAPVC, such as our case, are rare. Nevertheless, close vigilance is necessary to prevent misdiagnosis in patients with this clinical presentation.<\/jats:p>","DOI":"10.1136\/bcr-2021-245186","type":"journal-article","created":{"date-parts":[[2021,9,20]],"date-time":"2021-09-20T12:09:29Z","timestamp":1632139769000},"page":"e245186","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Late-onset total anomalous pulmonary venous connection in a 70-year-old woman"],"prefix":"10.1136","volume":"14","author":[{"given":"Sho","family":"Takagi","sequence":"first","affiliation":[{"name":"Cardiovascular Surgery, Toyohashi Heart Center, Toyohashi, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akio","family":"Nakasu","sequence":"additional","affiliation":[{"name":"Cardiovascular Surgery, Toyohashi Heart Center, Toyohashi, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junji","family":"Yanagisawa","sequence":"additional","affiliation":[{"name":"Cardiovascular Surgery, Toyohashi Heart Center, Toyohashi, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshihiro","family":"Goto","sequence":"additional","affiliation":[{"name":"Cardiovascular Surgery, Toyohashi Heart Center, Toyohashi, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,9,20]]},"reference":[{"key":"2025082706502788000_14.9.e245186.1","doi-asserted-by":"crossref","first-page":"1420","DOI":"10.1002\/bdr2.1589","article-title":"For the National birth defects prevention network. National population-based estimates for major birth defects, 2010-2014","volume":"111","author":"Mai","year":"2019","journal-title":"Birth Defects Res"},{"key":"2025082706502788000_14.9.e245186.2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-8703(60)90414-2"},{"key":"2025082706502788000_14.9.e245186.3","doi-asserted-by":"crossref","first-page":"46","DOI":"10.5761\/atcs.cr.11.01763","article-title":"Total anomalous pulmonary venous connection in a 64-year-old man: a case report","volume":"19","author":"Ogawa","year":"2013","journal-title":"Ann Thorac Cardiovasc Surg"},{"key":"2025082706502788000_14.9.e245186.4","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(92)90285-C"},{"key":"2025082706502788000_14.9.e245186.5","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehaa554"},{"key":"2025082706502788000_14.9.e245186.6","doi-asserted-by":"crossref","first-page":"270","DOI":"10.3329\/bjms.v14i3.23469","article-title":"Clinical profile of patients with total anomalous pulmonary venous return and their short term outcome in pediatric cardiac centre at Dhaka Shishu Hospital","volume":"14","author":"Munsi","year":"2015","journal-title":"Bangladesh J Med Sci"},{"key":"2025082706502788000_14.9.e245186.7","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1055\/s-0029-1185390","article-title":"Surgical treatment of a 56-year-old woman with an intracardiac type of total anomalous pulmonary venous connection","volume":"58","author":"Feng","year":"2010","journal-title":"Thorac Cardiovasc Surg"},{"key":"2025082706502788000_14.9.e245186.8","doi-asserted-by":"crossref","first-page":"736","DOI":"10.1111\/jocs.12006","article-title":"Surgical outcome of isolated total anomalous pulmonary venous connection in adults: a 14-year experience","volume":"27","author":"Jian","year":"2012","journal-title":"J Card Surg"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-245186","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T13:50:31Z","timestamp":1756302631000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-245186"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9]]},"references-count":8,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2021,9,20]]},"published-print":{"date-parts":[[2021,9]]}},"alternative-id":["10.1136\/bcr-2021-245186"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-245186","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,9]]}}}