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      Diagnosis and Management of Partial Anomalous Pulmonary Venous Connection


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          Medical records, angiograms and operative records of 28 patients with partial anomalous pulmonary venous connection (PAPVC) were reviewed. Twenty patients had one anomalous pulmonary vein (APV), and 8 had more than two APVs. Twenty-five patients (89%) had APVs originating from the right lung, 2 (7%) from the left lung and 1 (4%) from both lungs. In the 25 patients with APVs originating from the right lung, 9 had APVs draining into the superior vena cava (SVC), 13 into the right atrium (RA), 1 into the inferior vena cava (IVC) and 2 into both the SVC and RA. In the 2 patients with APVs originating from the left lung, 1 had APVs draining into the RA, and the other had APVs draining into the innominate vein. The patient with APVs originating from both lungs had connection to the IVC. Twenty-three patients (82%) had additional cardiovascular defects. Surgery was performed in 13 patients who had pulmonary/systemic flow ratios greater than 2.0. The patients have done well after surgery. In 7 patients, we were unable to accurately determine the number or sites of drainage of APVs prior to surgery. We conclude that selective pulmonary angiography is indispensable for the accurate diagnosis of PAPVC.

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          Author and article information

          S. Karger AG
          January 1998
          13 February 1998
          : 89
          : 2
          : 148-151
          Department of Pediatrics, Faculty of Medicine, Kyushu University, Fukuoka, Japan
          6771 Cardiology 1998;89:148–151
          © 1998 S. Karger AG, Basel

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          Page count
          Tables: 2, References: 20, Pages: 4
          Congenital Heart Diseases


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