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Ann Thorac Surg 1992;53:689-691
© 1992 The Society of Thoracic Surgeons

Articles

Pulmonary resection and contralateral anomalous venous drainage: A lethal combination

Michael D. Black, MD*, Farid M. Shamji, MD, William Goldstein, MD, Harold J. Sachs, MD

Departments of Thoracic and Cardiovascular Surgery, Ottawa Civic Hospital and the University of Ottawa Heart Institute, Ottawa, Ontario, Canada

Accepted for publication August 21, 1991.

* Address reprint requests to Dr Black, c/o Dr F. M. Shamji, Division of Thoracic Surgery, Ottawa Civic Hospital, 1053 Carling Ave, Ottawa, Ont K1Y 4E9, Canada.

A 72-year-old acyanotic woman had development of acute right heart failure with systemic hypotension 2 hours after a curative right intrapericardial pneumonectomy for primary lung cancer. A postoperative pulmonary angiogram revealed a major left to right shunt through previously unsuspected partial anomalous venous drainage of the left upper lobe of the lung.




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