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Ann Thorac Surg 2009;87:1599-1601. doi:10.1016/j.athoracsur.2008.09.025
© 2009 The Society of Thoracic Surgeons
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Case Reports

Total Anomalous Systemic Venous Drainage to the Left Atrium

Ze-Wei Zhang, MD*, Qun-Jun Duan, MD, Zhan Gao, MD, Wei Ru, MD, Li-Yang Ying, MD

Department of Thoracic and Cardiovascular Surgery, Children's Hospital of Zhejiang University, School of Medicine, Hangzhou, China

Accepted for publication September 1, 2008.

* Address correspondence to Dr Zhang, Department of Thoracic and Cardiovascular Surgery, Children's Hospital of Zhejiang University, School of Medicine, No. 57 Zhugan Xiang, Hangzhou, 310003, China (Email: zeweiz{at}zju.edu.cn).

We present an unusual case of total anomalous systemic venous drainage in which the right superior vena cava, persistent left superior vena cava, inferior vena cava, and coronary sinus were present and unusually connected to the left atrium. Successful surgical correction was achieved, and the patient's recovery was uneventful. Various types of total anomalous systemic venous drainage are discussed, and classification of total anomalous systemic venous drainage is made under the consideration of creation of cardiopulmonary bypass.






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