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a Division of Cardiothoracic Surgery, The Children's Hospital, Aurora, Colorado
b Division of Pediatric Cardiology, The Children's Hospital, Aurora, Colorado
* Address correspondence to Dr Goldberg, Pediatric Cardiac Surgery, The Children's Hospital, 13123 E 16th Ave, B200, Aurora, CO 80045 (Email: sgoldberg17@yahoo.com).
| The first 20% of the full text of this article appears below. |
An 18-year-old young man was referred to our institution for surgical repair of an ascending aortic aneurysm associated with a nonobstructive bicuspid aortic valve. His preoperative echocardiogram initially demonstrated what appeared to be an accessory left pulmonary vein that drained cranially into the innominate vein. The rest of his pulmonary venous anatomy was well seen and drained normally to the left atrium.
This prompted a magnetic resonance angiogram with three-dimensional volume rendering (Fig 1). In addition to the aneurysmal ascending aorta, the magnetic resonance imaging revealed an ascending venous connection between
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