Me. Mukadam et al., SURGICAL CONSIDERATIONS IN MANAGEMENT OF LEFT HEMIANOMALOUS PULMONARYVENOUS CONNECTIONS, The thoracic and cardiovascular surgeon, 43(1), 1995, pp. 48-51
Anomalous pulmonary Venous connection of the entire left lung into the
left innominate vein is very rare. 5 patients with this anomaly were
managed in the authors' institution over the last 12 years. Clinically
they were diagnosed as cases of pretricuspid left-to-right shunt at a
trial level. Cardiac catheterisation and angiography demonstrated the
anomalous drainage of the entire left lung into the left innominate ve
in. Anastomosis between the vertical vein and the left atrium was esta
blished using conventional cardiopulmonary bypass, hypothermia, and co
ld cardioplegic diastolic arrest of the heart. Postoperative course wa
s uneventful. 4 of the 5 patients presented for follow-up during 1-12
years (mean 6.5 years). All are asymptomatic and have been studied wit
h echocardiography, angiography, and magnetic resonance imaging techni
ques. The anastomatic site was found to be non obstructive in all the
patients.