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Infradiaphragmatic Anomalous Pulmonary Venous Connection: Report of an Unusual Case

Infradiaphragmatic Anomalous Pulmonary Venous Connection: Report of an Unusual Case Abstract Infradiaphragmatic total anomalous pulmonary venous drainage is characterized anatomically by union of all 4 pulmonary veins to form a common vertical vein. This vein descends through the esophageal hiatus of the diaphragm to enter either the portal vein, ductus venosus, or the inferior vena cava. Infants having this condition usually do not survive beyond the first few weeks or months of life.1-15 It is the purpose of this report to describe the unusual clinical course of a 4-year-old Negro female who died after attempted surgical correction of total anomalous pulmonary venous connection to the inferior vena cava. This patient was unusual in that she had been relatively asymptomatic, did not demonstrate cyanosis, and had auscultatory findings compatible with the clinical diagnosis of atrial septal defect. Her long survival truly was remarkable. Report of a Case The patient had been followed in the Children's Cardiac Clinic of the City of References 1. Nadas, A. S.: Pediatric Cardiology , Philadelphia, W. B. Saunders Company, 1957, pp. 513-523. 2. Kjellberg, S. R.; Mannheimer, E.; Rudhe, U., and Jonsson, B.: Diagnosis of Congenital Heart Disease , Ed. 2, Chicago, Year Book Medical Publishers, Inc., 1959, pp. 490-529. 3. Keith, J. D.; Rowe, R. D., and Vlad, P.: Heart Disease in Infancy and Childhood , New York, The Macmillan Company, 1958, pp. 328-360. 4. Brody, H.: Drainage of the Pulmonic Veins into the Right Side of the Heart , Arch. Path. 33: 221, 1942. 5. Bruce, R. A., and Hagen, J. M. V.: Anomaly of Total Pulmonary Venous Connection , Amer. Heart J. 47:785, 1954.Crossref 6. Darling, R. C.; Rothney, W. B., and Craig, J. M.: Total Pulmonary Venous Drainage into the Right Side of the Heart: Report of 17 Autopsied Cases Not Associated with Other Major Cardiovascular Anomalies , Lab. Invest. 6:44, 1957. 7. Druepple, L. G.: Complete Pulmonary Venous Drainage into the Portal Vein with Multiple Congenital Anomalies , Amer. Heart J. 53:790, 1957.Crossref 8. Edwards, J. E.: Pathologic and Developmental Considerations in Anomalous Pulmonary Venous Connection , Proc. Mayo Clin. 28:441, 1953. 9. Keith, J. D.; Rowe, R. D.; Vlad, P., and O'Hanley, J. H.: Complete Anomalous Pulmonary Venous Drainage , Amer. J. Med. 16:23, 1954.Crossref 10. Sepulveda, G.; Lukas, D. S., and Steinberg, I.: Anomalous Drainage of Pulmonary Veins , Amer. J. Med. 18:883, 1955.Crossref 11. Smith, B.; Frye, T. R., and Newton, W. A., Jr.: Total Anomalous Pulmonary Venous Return: Diagnostic Criteria and a New Classification , Amer. J. Dis. Child. 101:67, 1961.Crossref 12. Winter, S. T.; Ehrenfeld, E. N., and Feldman, J. D.: Total Drainage of Pulmonary Veins into the Right Atrium , Arch. Dis. Child. 27:539, 1952.Crossref 13. Mehn, W. H., and Hirsch, F. E.: Drainage of the Pulmonary Veins into the Ductus Venosus Arantii , Amer. J. Path. 23:125, 1947. 14. Gott, V. L.; Lester, R. G.; Lillehei, C. W., and Varco, R. L.: Total Anomalous Pulmonary Return: An Analysis of 30 Cases , Circulation 13: 543, 1956.Crossref 15. Johnson, A. L.; Wigglesworth, F. W.; Dunbar, J. S.; Siddoo, S., and Grajo, M.: Infradiaphragmatic Total Anomalous Pulmonary Venous Connection , Circulation 17:340, 1958.Crossref 16. Snellen, H. A., and Albers, F. H.: The Clinical Diagnosis of Anomalous Pulmonary Venous Drainage , Circulation 6:801, 1952.Crossref 17. Gardner, F., and Oram, S.: Persistent Left Superior Vena Cava Draining the Pulmonary Veins , Brit. Heart J. 15:305, 1953.Crossref 18. Whitaker, W.: Total Pulmonary Venous Drainage Through a Persistent Left Superior Vena Cava , Brit. Heart J. 16:177, 1954.Crossref 19. Guntheroth, W. G.; Nadas, A. S., and Gross, R. E.: Transposition of the Pulmonary Veins , Circulation 18:117, 1958.Crossref 20. Cooley, D. A., and Ochsner, A., Jr.: Correction of Total Anomalous Pulmonary Venous Drainage , Surgery 42:1014, 1957. 21. Mustard, W. T., and Dolan, F. G.: The Surgical Treatment of Total Anomalous Pulmonary Venous Drainage , Ann. Surg. 145:379, 1957.Crossref 22. Cooley, D. A., and Collins, H. P.: Anomalous Drainage of Entire Pulmonary Venous System into Left Innominate Vein: Clinical and Surgical Considerations , Circulation 19:486, 1959.Crossref 23. Burroughs, J. T., and Kirklin, J. W.: Complete Surgical Correction of Total Anomalous Pulmonary Venous Connection: Report of 3 Cases , in Symposium on Total Anomalous Pulmonary Venous Connection Proc. Mayo Clin. 31:182, 1956. 24. Sherman, F. E., and Bauersfeld, S. R.: Total Uncomplicated, Anomalous Pulmonary Venous Connection: Morphologic Observations on 13 Necropsy Specimens from Infants , Pediatrics 25: 656, 1960. 25. Castle, R. F., and Craige, E.: Auscultation of the Heart in Infants and Children , Pediatrics 26: 511, 1960. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Infradiaphragmatic Anomalous Pulmonary Venous Connection: Report of an Unusual Case

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References (32)

Publisher
American Medical Association
Copyright
Copyright © 1962 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1962.02080030662011
Publisher site
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Abstract

Abstract Infradiaphragmatic total anomalous pulmonary venous drainage is characterized anatomically by union of all 4 pulmonary veins to form a common vertical vein. This vein descends through the esophageal hiatus of the diaphragm to enter either the portal vein, ductus venosus, or the inferior vena cava. Infants having this condition usually do not survive beyond the first few weeks or months of life.1-15 It is the purpose of this report to describe the unusual clinical course of a 4-year-old Negro female who died after attempted surgical correction of total anomalous pulmonary venous connection to the inferior vena cava. This patient was unusual in that she had been relatively asymptomatic, did not demonstrate cyanosis, and had auscultatory findings compatible with the clinical diagnosis of atrial septal defect. Her long survival truly was remarkable. Report of a Case The patient had been followed in the Children's Cardiac Clinic of the City of References 1. Nadas, A. S.: Pediatric Cardiology , Philadelphia, W. B. Saunders Company, 1957, pp. 513-523. 2. Kjellberg, S. R.; Mannheimer, E.; Rudhe, U., and Jonsson, B.: Diagnosis of Congenital Heart Disease , Ed. 2, Chicago, Year Book Medical Publishers, Inc., 1959, pp. 490-529. 3. Keith, J. D.; Rowe, R. D., and Vlad, P.: Heart Disease in Infancy and Childhood , New York, The Macmillan Company, 1958, pp. 328-360. 4. Brody, H.: Drainage of the Pulmonic Veins into the Right Side of the Heart , Arch. Path. 33: 221, 1942. 5. Bruce, R. A., and Hagen, J. M. V.: Anomaly of Total Pulmonary Venous Connection , Amer. Heart J. 47:785, 1954.Crossref 6. Darling, R. C.; Rothney, W. B., and Craig, J. M.: Total Pulmonary Venous Drainage into the Right Side of the Heart: Report of 17 Autopsied Cases Not Associated with Other Major Cardiovascular Anomalies , Lab. Invest. 6:44, 1957. 7. Druepple, L. G.: Complete Pulmonary Venous Drainage into the Portal Vein with Multiple Congenital Anomalies , Amer. Heart J. 53:790, 1957.Crossref 8. Edwards, J. E.: Pathologic and Developmental Considerations in Anomalous Pulmonary Venous Connection , Proc. Mayo Clin. 28:441, 1953. 9. Keith, J. D.; Rowe, R. D.; Vlad, P., and O'Hanley, J. H.: Complete Anomalous Pulmonary Venous Drainage , Amer. J. Med. 16:23, 1954.Crossref 10. Sepulveda, G.; Lukas, D. S., and Steinberg, I.: Anomalous Drainage of Pulmonary Veins , Amer. J. Med. 18:883, 1955.Crossref 11. Smith, B.; Frye, T. R., and Newton, W. A., Jr.: Total Anomalous Pulmonary Venous Return: Diagnostic Criteria and a New Classification , Amer. J. Dis. Child. 101:67, 1961.Crossref 12. Winter, S. T.; Ehrenfeld, E. N., and Feldman, J. D.: Total Drainage of Pulmonary Veins into the Right Atrium , Arch. Dis. Child. 27:539, 1952.Crossref 13. Mehn, W. H., and Hirsch, F. E.: Drainage of the Pulmonary Veins into the Ductus Venosus Arantii , Amer. J. Path. 23:125, 1947. 14. Gott, V. L.; Lester, R. G.; Lillehei, C. W., and Varco, R. L.: Total Anomalous Pulmonary Return: An Analysis of 30 Cases , Circulation 13: 543, 1956.Crossref 15. Johnson, A. L.; Wigglesworth, F. W.; Dunbar, J. S.; Siddoo, S., and Grajo, M.: Infradiaphragmatic Total Anomalous Pulmonary Venous Connection , Circulation 17:340, 1958.Crossref 16. Snellen, H. A., and Albers, F. H.: The Clinical Diagnosis of Anomalous Pulmonary Venous Drainage , Circulation 6:801, 1952.Crossref 17. Gardner, F., and Oram, S.: Persistent Left Superior Vena Cava Draining the Pulmonary Veins , Brit. Heart J. 15:305, 1953.Crossref 18. Whitaker, W.: Total Pulmonary Venous Drainage Through a Persistent Left Superior Vena Cava , Brit. Heart J. 16:177, 1954.Crossref 19. Guntheroth, W. G.; Nadas, A. S., and Gross, R. E.: Transposition of the Pulmonary Veins , Circulation 18:117, 1958.Crossref 20. Cooley, D. A., and Ochsner, A., Jr.: Correction of Total Anomalous Pulmonary Venous Drainage , Surgery 42:1014, 1957. 21. Mustard, W. T., and Dolan, F. G.: The Surgical Treatment of Total Anomalous Pulmonary Venous Drainage , Ann. Surg. 145:379, 1957.Crossref 22. Cooley, D. A., and Collins, H. P.: Anomalous Drainage of Entire Pulmonary Venous System into Left Innominate Vein: Clinical and Surgical Considerations , Circulation 19:486, 1959.Crossref 23. Burroughs, J. T., and Kirklin, J. W.: Complete Surgical Correction of Total Anomalous Pulmonary Venous Connection: Report of 3 Cases , in Symposium on Total Anomalous Pulmonary Venous Connection Proc. Mayo Clin. 31:182, 1956. 24. Sherman, F. E., and Bauersfeld, S. R.: Total Uncomplicated, Anomalous Pulmonary Venous Connection: Morphologic Observations on 13 Necropsy Specimens from Infants , Pediatrics 25: 656, 1960. 25. Castle, R. F., and Craige, E.: Auscultation of the Heart in Infants and Children , Pediatrics 26: 511, 1960.

Journal

American Journal of Diseases of Children – American Medical Association

Published: Dec 1, 1962

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