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Ann Thorac Surg 1987;43:432-434
© 1987 The Society of Thoracic Surgeons

Articles

Pulmonary Venous Obstruction Following Repair of Total Anomalous Pulmonary Venous Drainage

H.-J. Schäfers, M.D.*, I. Luhmer, M.D., H. Oelert, M.D.

Division of Thoracic and Cardiovascular Surgery, Department of Pediatric Cardiology, and Department of Surgery, Hannover Medical School, Hannover, West Germany

Accepted for publication March 21, 1986.

* Address reprint requests to Dr. Schäfers, Division of Thoracic and Cardiovascular Surgery, Hannover Medical School, Konstanty-Gutschow-Str. 8, D-3000 Hannover 61, West Germany

Recurrent pulmonary venous obstruction has been reported as a serious late complication following the initial repair of total anomalous pulmonary venous drainage. It occurs either as true pulmonary venous obstruction or as stenosis of the retrocardiac anastomosis between the left atrium and pulmonary veins.

The 2 patients reported herein demonstrate the typical history and course following stenosis of the retrocardiac anastomosis. Reoperation resulted in complete relief of symptoms. Both patients are well 36 and 17 months after reoperation, demonstrating the favorable prognosis of this lesion.




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