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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      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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        • Bahnson H.T.
        • Spencer F.C.
        • Neill C.A.
        Surgical treatment of 35 cases of drainage of the pulmonary veins to the right side of the heart.
        J. Thoracic Surg. 1958; 36: 777
        • Burroughs J.T.
        • Edwards J.T.
        Total anomalous pulmonary venous connection.
        Am. Heart J. 1960; 59: 913
        • Cooley D.A.
        • Collins H.A.
        Anomalous drainage of entire pulmonary venous system into left innominate vein: Clinical and surgical considerations.
        Circulation. 1959; 19: 486
        • Cooley D.A.
        • Ochsner Jr., A.
        Correction of total anomalous pulmonary venous drainage.
        Surgery. 1957; 42: 1014
        • Dali H.F.
        • Neufeld H.
        Radiological diagnosis of anomalous pulmonary venous connection: A tomographic study.
        Radiology. 1960; 74: 1
        • Darling R.C.
        • Rothney W.B.
        • Craig J.M.
        Total pulmonary venous drainage into the right side of the heart.
        Lab Invest. 1957; 6: 44
        • Edwards J.E.
        Pathologic and developmental consideration in anomalous pulmonary venous connection.
        in: ed. 2. Proc. Staff Meet. Mayo Clin. 28. 1953: 441
        • Ehrenhaft J.L.
        • Theilen E.O.
        • Lawrence M.S.
        The surgical treatment of partial and total anomalous pulmonary venous connections.
        Ann. Surg. 1958; 148: 249
        • Flint J.M.
        The development of the lungs.
        Am. J. Anat. 1906–1907; 7: 1
        • Friedlich A.
        • Bing R.J.
        • Blount Jr., S.G.
        Physiological studies in congenital heart disease. IX. Circulatory dynamics in the anomalies of venous return to the heart including pulmonary arteriovenous fistula.
        Bull. Johns Hopkins Hosp. 1950; 86: 20
        • Gardner F.
        • Oram S.
        Persistent left superior vena cava draining the pulmonary veins.
        Brit. Heart J. 1953; 15: 305
        • Gott V.L.
        • Lester R.G.
        • Lillehei C.W.
        • Varco R.L.
        Total anomalous pulmonary return.
        in: An analysis of 30 cases. ed. 2. Circulation. 13. 1956: 543
        • Guntheroth W.G.
        • Nadas A.S.
        • Gross R.E.
        Transposition of the pulmonary veins.
        Circulation. 1958; 18: 117
        • Healey Jr., J.E.
        An anatomic survey of anomalous pulmonary veins.
        in: Their clinical significance. ed. 2. J. Thoracic Surg. 23. 1952: 433
        • Johnson A.L.
        • Wiglesworth F.W.
        • Dunbar J.S.
        • Siddoo S.
        • Geajo M.
        Infradiaphragmatic total anomalous pulmonary venous connection.
        Circulation. 1958; 17: 340
        • Keith J.D.
        • Rowe R.D.
        • Vlad P.
        • O'Hayley J.H.
        Complete anomalous pulmonary venous drainage.
        Am. J. Med. 1954; 16: 23
        • Keith J.D.
        • Rowe R.D.
        • Vlad P.
        Heart disease in infancy and childhood.
        in: The Macmillan Co, New York1958: 337
        • Laurence K.M.
        • Brown R.J.K.
        Total anomalous drainage of pulmonary veins into the left gastric vein.
        Brit. Heart J. 1960; 22: 295
        • Lewis E.J.
        • Varco R.L.
        • Taufic M.
        • Niazi S.A.
        Direct vision repair of triatrial heart and total anomalous pulmonary venous drainage.
        Surg. Gynec. & Obst. 1956; 102: 713
        • Longmire Jr., W.P.
        • Burroughs J.T.
        • Maloney Jr., J.V.
        Total anomalous pulmonary venous connection.
        in: A report of a case with complete surgical correction. ed. 2. Surgery. 44. 1958: 572 (citing Burchell, H. B.)
        • Mustard W.T.
        • Dogan F.G.
        The surgical treatment of total anomalous pulmonary venous drainage.
        Ann. Surg. 1957; 145: 379
        • Neill C.A.
        Development of the pulmonary veins with reference to the embryology of anomalies of pulmonary venous return.
        Pediatrics. 1956; 18: 880
        • Shumacker Jr., H.B.
        • King H.
        A modified procedure for complete repair of total anomalous pulmonary venous drainage.
        Surg. Gynec. & Obst. 1961; 112: 763
      1. Sloan, H. E.: Personal communication, December, 1961.

        • Vetto R.R.
        • Dillard D.H.
        • Jones T.W.
        • Winterscheid L.L.
        • Merendino K.A.
        The surgical therapy of extracardiac anomalous drainage.
        Circulation. 1961; 23: 907