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Sameet A. Pathak
Rajnish Duara
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Ann Thorac Surg 2006;82:322-323
© 2006 The Society of Thoracic Surgeons

Case report

Supracardiac Total Anomalous Pulmonary Venous Connection With a Supramitral Ring: A Rare, Surgically Correctable Anomaly

Anand P. Iyer, MCh * , Arunkumar Haridas, MS, Sameet A. Pathak, MS, Rajnish Duara, MS, Prashant Y, MS, Sooraj Pradhan, MS, Krishnamanohar S. Rema, MCh

Sri Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India

Accepted for publication September 6, 2005.

* Address correspondence to Dr Iyer, Department of Cardiovascular and Thoracic Surgery, Sri Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, 11 Kerala, 695014 India (Email: anandcvts{at}hotmail.com).

Total anomalous pulmonary venous connection is rarely associated with a supramitral ring. This condition should be suspected in any infant having total anomalous pulmonary venous connection with obstruction to the pulmonary venous return. Preoperative echocardiography is usually successful in detecting the lesion. The Shumaker and King repair for total anomalous pulmonary venous connection is most appropriate for such composite lesions as it enables the surgeon to identify the membrane and excise it easily and completely. We report one such case.






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