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Ann Thorac Surg 1981;31:540-543
© 1981 The Society of Thoracic Surgeons

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Articles

Isolated Partial Anomalous Venous Connection: A Congenital Defect with Late and Serious Complications

Division of Cardiology, Department of Medicine, Division of Internal Medicine, Department of Medicine, and Division of Cardiothoracic Surgery, Department of Surgery, The Milton S. Hershey Medical Center, The Pennsylvania State University College of Medicine, Hershey, PA

Accepted for publication November 17, 1980.

^* Address reprint requests to Dr. Babb, Cardiology Section, Bridgeport Hospital, 267 Grant St, Bridgeport, CT 06602

The cases of 3 patients with partial anomalous pulmonary venous return with intact atrial septum are reported. The 2 adult patients had evidence of severe pulmonary artery hypertension with markedly increased pulmonary vascular resistance indicating advanced pulmonary vascular obstructive disease. This confirms earlier limited observations and emphasizes the potential for this congenital lesion to develop late, serious complications. In view of this potential, surgical repair of the anomaly should be considered whenever it is found. Descriptions of a successful operative approach are included.

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