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Ann Thorac Surg 2009;87:964. doi:10.1016/j.athoracsur.2008.07.015
© 2009 The Society of Thoracic Surgeons
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Edward B. Savage
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Images in Cardiothoracic Surgery

Diagnosis of Incorrectly Repaired Anomalous Right Pulmonary Veins in an Adult 40 Years After Primary Repair

Edward B. Savage, MDa,*, George M. Kichura, MDa, Mark D. Wittry, MDb, Andrew C. Fiore, MDd, Burt I. Bromberg, MDc, Luke A. Bruns, MDc, Dharam P. Goel, MDc, Nicolin Neal, BAa

a Department of Heart and Vascular Services, St. John's Mercy Medical Center, St. Louis, Missouri
b Department of Radiology, St. John's Mercy Medical Center, St. Louis, Missouri
c Department of Pediatrics, St. John's Mercy Medical Center, St. Louis, Missouri
d Department of Surgery, SSM Cardinal Glennon Children's Medical Center, St. Louis, Missouri

* Address correspondence to Dr Savage, St. John's Mercy Heart Hospital, 625 S New Ballas Rd, Suite R7040, St. Louis, MO 63141 (Email: ebsavage99-3@yahoo.com).

In the 1960s, heroic repairs of the heart were accomplished. However, there was not a noninvasive method to confirm the correct repair. A young girl was diagnosed with a primum atrial septal defect. Repair was performed through a right thoracotomy, baffling the right pulmonary venous return through an absent atrial septum. At age 46, she presented with atrial fibrillation. The transesophageal echocardiogram demonstrated an enlarged . . . [Full Text of this Article]






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