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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
PubMed
Summary
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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.

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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.