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Research Article| Volume 51, ISSUE 6, P798-804, June 1962

Total anomalous pulmonary venous drainage into inferior vena cava: Report of successful surgical correction

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      Abstract

      Total anomalous pulmonary venous drainage into the inferior vena cava is a rare congenital anomaly. Prognosis is poor in infants with this lesion unless surgical treatment is employed early. Successful repair of TAPVD into the inferior vena cava is reported in a 7-week-old infant by utilization of a temporary cardiopulmonary bypass. The common venous trunk was divided at the level of the diaphragm and anastomosed to the posterior aspect of the left atrium. Closure of a patent foramen ovale completed the repair.
      Results of complete correction of various types of TAPVD in our series of 38 patients is reviewed. Over-all mortality was 39 per cent, but 13 of the 15 deaths were of critically ill infants less than 1 year of age. Results of operation in older children were excellent.
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