The Journal of Thoracic and Cardiovascular Surgery, Vol 75, 244-247, Copyright © 1978 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
Cyanosis in a patient with combined ostium primum and secundum atial septal defects and anomalous inferior vena cava with azygos continuation. Case report and surgical considerations
JY Jung, CH Almond, Z Lababidi, LL Politte and LE Watson
A case is described of combined ostium primum and ostium secundum atrial
septal defects and azygos connection of the inferior vena cava plus
cyanosis. Emphasis is made to recognize the functional mechanism of
cyanosis and to demonstrate the anatomic site of hepatic venous drainage so
that an appropriate corrective operative procedure can be planned. A
gratifying result was achieved in this case after closure of the atrial
septal defects.