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Bilateral partial anomalous pulmonary venous return

J C Mullen1, K Waskiewich, R Bhargava

  • 1Division of Cardiothoracic Surgery, University of Alberta, Edmonton. jmullen@gpu.stv.ualberta.ca

The Canadian Journal of Cardiology
|June 1, 1997
PubMed
Summary
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This study details two rare cases of atrial septal defects with anomalous pulmonary venous return in children. Surgical repair involved direct venous connection and baffle redirection for successful outcomes.

Area of Science:

  • Cardiology
  • Pediatric Surgery
  • Congenital Heart Disease

Background:

  • Atrial septal defects (ASDs) are common congenital heart anomalies.
  • Partial anomalous pulmonary venous return (PAPVR) is a less frequent, often associated condition.
  • Bilateral PAPVR presents unique surgical challenges.

Observation:

  • Two pediatric patients presented with unusual atrial septal defects.
  • Both patients exhibited bilateral partial anomalous pulmonary venous return.
  • Surgical intervention was deemed necessary for total repair.

Findings:

  • Successful total repair was achieved in both cases.
  • The surgical technique involved direct connection of the left upper lobe pulmonary vein to the left atrium.

Related Experiment Videos

  • Baffle redirection was employed for the right upper lobe pulmonary vein.

    • Implications:

    • This approach offers a viable solution for complex ASD with bilateral PAPVR.
    • Demonstrates the efficacy of direct venous anastomosis and baffle techniques.
    • Contributes to the surgical management strategies for rare congenital heart defects.