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Ann Thorac Surg 1979;27:246-249
© 1979 The Society of Thoracic Surgeons


Articles

Operative Correction of Total Left Anomalous Pulmonary Venous Return

Thomas A. Ports, M.D.*, Kevin Turley, M.D., Bruce H. Brundage, M.D., Paul A. Ebert, M.D.

Cardiac Service, Department of Medicine, the Department of Surgery, and the Cardiovascular Research Institute of the University of California, San Francisco, CA

Accepted for publication May 12, 1978.

* Address reprint requests to Dr. Ports, Cardiac Service, Department of Medicine, Room 1186 Moffitt Hospital, University of California, San Francisco, CA 94143

The evaluation, surgical repair, and follow-up are described in an asymptomatic 27-year-old man with unilateral total anomalous pulmonary venous return from the left lung through an innominate vein and a patent foramen ovale. The anomalous vein was divided and anastomosed directly to the left atrium using a vascular technique that produced an orifice larger than the vein diameter. Radionuclide scanning accurately identified the anomaly before operation and allows periodic noninvasive reevaluation after operation. Correction is recommended in all patients with unilateral anomalous pulmonary venous return because disease in the one normal lung could be fatal.




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