The Annals of Thoracic Surgery, Vol 23, 73-76, Copyright © 1977 by The Society of Thoracic Surgeons
Repair of atrial septal defect with partial anomalous pulmonary venous return from the left upper lobe
AR Ghassemi and NB Thomson Jr
A patient with partial anomalous venous return from the left upper lobe in
the presence of a large atrial septal defect is presented. The diagnosis
was confirmed by selective angiographic studies. Two technical points are
emphasized: first, that the exposure through a midsternal incision is
excellent, and second, that the anomalous vein must be detached from its
connection to the innominate or subclavian artery as high into the left
chest as it is technically possible to reach. Postoperative cardiac
catheterization and angiograms confirm the completeness of the repair.