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- W2007999838 abstract "Abstract The literature concerning total uncomplicated anomalous pulmonary venous drainage is reviewed. Fourteen cases in children, thirteen proven by autopsy, are added to this group. The main clinical findings in infants and children are lack of clinical cyanosis and failure to thrive. Murmurs may be absent or faint initially. Later a parasternal systolic murmur between the second and fourth left interspaces becomes increasingly evident. Diastolic murmurs are occasionally heard. A venous hum was audible in the pulmonary area in about one-fourth of the authors' cases and is specific to one particular type. The radiologic picture varies with the anatomical type. When the pulmonary veins drain into a left superior vena cava, a characteristic mediastinal venous shadow is present except in the first few months of life. Increasing cardiac enlargement after birth is the rule. Lung vascularity is markedly increased. The electrocardiogram shows marked right ventricular hypertrophy with a qR pattern and inverted T waves in the right precordial leads. Cardiac catheterization is of value but has a number of limitations. The chief diagnostic difficulty lies in separating this anomaly from aortic hypoplasia in infancy and auricular septal defect in older children. Surgical correction of the condition would seem theoretically possible because of the close proximity of the left auricular appendage to the anomalous venous trunk. However, the small waist of the left auricular appendage, the difficulty in making a large enough anastomosis, the small left auricle and ventricle all militate against successful surgery." @default.
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- W2007999838 date "1954-01-01" @default.
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- W2007999838 title "Complete anomalous pulmonary venous drainage" @default.
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- W2007999838 doi "https://doi.org/10.1016/0002-9343(54)90320-4" @default.
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