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The Journal of Thoracic and Cardiovascular Surgery, Vol 97, 886-892, Copyright © 1989 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
S Sano, WJ Brawn and RB Mee
Forty-four patients with total anomalous pulmonary venous drainage
underwent repair between 1979 and 1987. The anomalous drainage was
supracardiac in 16, cardiac in 12, and infracardiac in 16. Median age at
repair was 15 days and median weight, 3.3 kg. In 22 patients (50%) the
venous drainage was obstructed. Emergency operation was necessary in 12
patients, and the condition of seven additional patients deteriorated while
they were awaiting semiurgent operation. There was one hospital death
(mortality rate 2.3%), occurring in a 2-week-old premature neonate with
infracardiac drainage. In 17 of 44 patients, mean pulmonary artery pressure
equaled or exceeded systemic arterial pressure immediately after repair.
Four patients have required reoperation and two of these have died as a
result of peripheral extension of pulmonary vein sclerosis. In the review
period of from 1 month to 7 years, all survivors are well and receiving no
medication.
ARTICLES
Total anomalous pulmonary venous drainage
Department of Cardiac Surgery, Royal Children's Hospital, Melbourne, Australia.
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