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Ann Thorac Surg 1977;23:436-441
© 1977 The Society of Thoracic Surgeons

Articles

Tree-shaped Pulmonary Veins in Infracardiac Total Anomalous Pulmonary Venous Drainage

Yasunaru Kawashima, M.D.*, Hikaru Matsuda, M.D., Susumu Nakano, M.D., Katsuhiko Miyamoto, M.D., Masaoki Fujino, M.D., Takahiro Kozuka, M.D., Hisao Manabe, M.D.

First Department of Surgery and the Department of Radiology, Osaka University Medical School, Osaka, Japan

Accepted for publication August 25, 1976.

* Address reprint requests to Dr. Kawashima, First Department of Surgery, Osaka University Hospital, Fukushima-ku, Osaka, Japan 553.

Three consecutive patients undergoing corrective operation for the infracardiac type of total anomalous pulmonary venous drainage (TAPVD) were found to have tree-shaped pulmonary veins. Preoperative angiocardiography revealed that in 2 patients the superior and inferior pulmonary veins drained separately, bilaterally, into the vertical vein. In the third patient the right pulmonary veins united to connect with the vertical vein, while the left superior and inferior pulmonary veins drained separately into the vertical vein. At operation inferior pulmonary veins connecting separately with the vertical vein were found to be located posterior to the pericardium.

In the previous literature dealing with successful repair of infracardiac TAPVD, there is no mention of the tree-shaped pulmonary veins described in this report. As this particular type of pulmonary vein does not seem to be uncommon, its possible presence should be kept in mind during operation, as it may dictate the selection of surgical procedures.




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