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Contributions

Partial anomalous pulmonary venous drainage

A novel approach to repair

Usama A. Hanhan, MD, Douglas S. Moodie, MD, Carl C. Gill, MD, Richard Sterba, MD, Philip Currie, MD and Robert Stewart, MD
Cleveland Clinic Journal of Medicine November 1989, 56 (8) 786-790;
Usama A. Hanhan
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Douglas S. Moodie
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Carl C. Gill
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Richard Sterba
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Philip Currie
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Robert Stewart
Department of Cardiology, The Cleveland Clinic Foundation
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ABSTRACT

Isolated partial anomalous pulmonary venous drainage with an intact atrial septum is a rare finding. The authors describe their experience with three patients (ages 9, 37, and 54 years), with partial anomalous pulmonary venous connection to the superior vena cava, right atrium, and inferior vena cava, who underwent extracardiac conduit repair of this anomaly. In all three patients, a synthetic Gortex graft was used for reconstruction of the venous pathways to the left atrium. The follow-up period ranged from 10 to 82 months (mean, 42 months). All three patients were evaluated with intravenous digital angiography, transesophageal echocardiography, or both at 10,33, and 82 months postoperatively. Patency of the grafts with no evidence of obstruction and excellent pulmonary venous flow was shown. This surgical technique is an excellent option for correction of this anomaly, and intravenous digital subtraction angiography is a useful diagnostic tool during the postoperative period to evaluate patency of the repair.

INDEX TERMS
  • Angiography
  • Pulmonary Veins
  • Abnormalities
  • Received January 1989.
  • Accepted April 1989.
  • Copyright © 1989 The Cleveland Clinic Foundation. All Rights Reserved.
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Cleveland Clinic Journal of Medicine: 56 (8)
Cleveland Clinic Journal of Medicine
Vol. 56, Issue 8
1 Nov 1989
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Partial anomalous pulmonary venous drainage
Usama A. Hanhan, Douglas S. Moodie, Carl C. Gill, Richard Sterba, Philip Currie, Robert Stewart
Cleveland Clinic Journal of Medicine Nov 1989, 56 (8) 786-790;

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Partial anomalous pulmonary venous drainage
Usama A. Hanhan, Douglas S. Moodie, Carl C. Gill, Richard Sterba, Philip Currie, Robert Stewart
Cleveland Clinic Journal of Medicine Nov 1989, 56 (8) 786-790;
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  • Angiography
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