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KMID : 0364019910240050485
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Korean Journal of Thoracic and Cardiovascular Surgery
1991 Volume.24 No. 5 p.485 ~ p.490
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Partial Anomalous Pulmonary Venous Drainage not Associated Atrial Septal Defect
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Abstract
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The partial anomalous pulmonary venous drainage, relatively uncommon congenital heart disease, is an anomalous drainage of a part of pulmonary veins of one or both lungs. It may exist as an isolated entity, but more frequently it is accompanied by an atrial septal defect. We recently experienced a case that right superior pulmonary vein was drained into superior vena cava without atrial septal defect.
The patient was 14year old boy and had no specific symptom. On physical examination, soft systolic murmur at grade H /M was heard on 2nd intercostal space of left sternal border. The cardiac catheterization and pulmonary angiogram showed that the right superior pulmonary vein was drained into the mid-point of superior vena cava but atrial septal defect was not found.
Under the cardiopulmonary bypass with the hypothermic crystalloid cardioplegia and using the bovine pericardial patch, we septated the superior vena cava after suture closure of azygos opening and made the right superior pulmonary vein drained into left atrium through artificial septal defect and superior vena cava was enlarged.
His postoperative course was uneventful.
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