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- W1561381027 abstract "<h2>Abstract</h2> Three cases of partial and three of total anomalous pulmonary venous drainage into the right atrium or its tributaries are reported and the main clinical, physiologic and angiocardiographic features are discussed. Among the group with <i>partial</i> anomalous pulmonary venous drainage one case was uncomplicated and asymptomatic. The two with symptoms had associated defects; pulmonic stenosis in one and rheumatic mitral stenosis in the other. In the latter patient the demonstration of an elevated pulmonary capillary pressure in the normally draining lung as compared to a normal venous pressure in the anomalously draining lung led to a definite diagnosis of mitral stenosis and successful surgical correction of this valvular lesion. All patients with <i>total</i> anomalous drainage of the pulmonary veins had symptoms and two were cyanotic. One forty-two year old patient, the oldest in the literature, was treated previously for a mediastinal lymphoma mistakenly diagnosed because of the roentgenographic appearance of the anomalous veins. Similarity of blood oxygen contents in the right ventricle, pulmonary and systemic arteries is a diagnostic feature of this anomaly. In one patient an attempt to anastomose the anomalous veins to the left atrial appendage had to be abandoned because of the small size of the left atrium. A filling defect produced by turbulence of the contrast material at the site of insertion of the anomalous vein was observed in the angiocardiogram of five of the cases. This previously unrecognized sign was of great value in establishing the diagnosis and permitting differentiation from an uncomplicated interatrial septal defect." @default.
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- W1561381027 date "1955-06-01" @default.
- W1561381027 modified "2023-09-25" @default.
- W1561381027 title "Anomalous drainage of pulmonary veins" @default.
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- W1561381027 doi "https://doi.org/10.1016/0002-9343(55)90171-6" @default.
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