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Ann Thorac Surg 2000;70:1400-1402
© 2000 The Society of Thoracic Surgeons

Case report

Infradiaphragmatic totally anomalous pulmonary venous return with two separate descending veins in association with right atrial isomerism

LeNardo D. Thompson, MDa, Doff B. McElhinney, MDa, V. Mohan Reddy, MDa, Kenneth L. Jue, MDa, Frank L. Hanley, MDa

a Divisions of Cardiothoracic Surgery and Cardiology, University of California, San Francisco, and Valley Childrens Hospital, Fresno, California, USA

Address reprint requests to Dr Thompson, University of California, San Francisco, Medical Center, 505 Parnassus Ave, San Francisco, CA 94143-0118

We present the case of a 1-month-old infant with right atrial isomerism and complex functionally univentricular heart disease, in whom totally anomalous pulmonary venous return drained below the diaphragm via two separate vertical veins. One of the descending vertical veins drained the entire right lung and the left upper lobe, while the other drained the remainder of the left lung. Only one similar case has been described previously.




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