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Partial anomalous pulmonary venous return.
C Van Meter1, J G LeBlanc, W S Culpepper
1Department of Surgery, Ochsner Clinic, New Orleans, LA 70121.
Circulation
|November 1, 1990
Summary
An extremely rare anomaly of left lung venous return was surgically corrected in 13 patients. This largest institutional study shows successful surgical outcomes for anomalous pulmonary venous return.
Area of Science:
- Cardiology
- Thoracic Surgery
- Medical Genetics
Background:
- Anomalous pulmonary venous return (APVR) from the left lung is exceptionally rare, typically documented in isolated case reports.
- This study presents the most extensive institutional experience to date with this specific anomaly.
Purpose of the Study:
- To detail the clinical characteristics and surgical management of patients with anomalous pulmonary venous return from the left lung.
- To report the outcomes of surgical correction for this rare condition.
Main Methods:
- A retrospective review of 13 patients diagnosed with anomalous pulmonary venous return from the left lung between 1964 and 1988.
- Surgical correction was performed using either sternotomy with cardiopulmonary bypass or left thoracotomy, including ligation of a persistent left superior vena cava and anastomosis to the left atrium.
Main Results:
- The patient cohort ranged from 15 months to 40 years, with 7 asymptomatic and 6 symptomatic individuals.
- Six patients had APVR from the entire left lung, seven from the upper lobe only; 8 had associated cardiovascular anomalies.
- All 13 patients underwent successful surgical correction with no mortality and only one complication.
Conclusions:
- Surgical correction of anomalous pulmonary venous return from the left lung is feasible and effective, even in the presence of associated cardiac anomalies.
- This series demonstrates a low complication rate and excellent outcomes for this rare congenital heart defect.