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Ann Thorac Surg 1977;23:73-76
© 1977 The Society of Thoracic Surgeons

Articles

Repair of Atrial Septal Defect with Partial Anomalous Pulmonary Venous Return from the Left Upper Lobe

Ali Reza Ghassemi, M.D., Norman B. Thomson, Jr., M.D.*

University of Azarabadeghan, Tabriz, Iran, and the St Francis Hospital, Roslyn, and State University of New York at Stony Brook School of Medicine, Stony Brook, NY.

Accepted for publication April 6, 1976.

* Address reprint requests to Dr. Thomson, St Francis Hospital, Roslyn, NY 11576.

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.






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Copyright © 1977 by The Society of Thoracic Surgeons.