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Item Warden Procedure in a 77-year-old Man(Elsevier, 2019) Hopkins, Kali A.; Farber, Mark O.; Singh, Rajeev; Kay, W. Aaron; Herrmann, Jeremy L.; Brown, John W.; Medicine, School of MedicinePartial anomalous pulmonary venous return (PAPVR) is a rare congenital heart defect characterized by one or more but not all of the pulmonary veins draining somewhere other than the left atrium thereby creating a left-to-right shunt. Over time, patients may develop right-sided volume overload and its subsequent complications. We present a case of isolated PAPVR in an older patient who underwent a Warden procedure at age 77 years with rapid improvement in right ventricular size and function.