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- W2015014408 abstract "A new complex consisting of total anomalous pulmonary venous return (TAPVR), obstructive in type, which was masked by complicated intracardiac lesions with resulting decreased pulmonary blood flow (PBF) was seen in three infants. They survived longer than do those with the usual obstructive form of TAPVR. In two infants cineangiography did not fill the pulmonary bed enough to visualize the PVR. Both infants had shunts performed for cyanosis and both died. The third infant, following the shunt, developed pulmonary edema. Review of the preoperative films showed faint visualization of the TAPVR below the diaphragm. Total repair was attempted without success. Awareness of the possibility of obstructed anomalously draining pulmonary veins is essential in the evaluation of the1 infant with complicated lesions resulting in decreased PBF to avoid the pulmonary edema and death which may follow a palliative shunt procedure. Inability to visualize or enter any pulmonary veins from the left atrium at catheterization should arouse suspicion. Angiography should be directed at filling the pulmonary bed as much as possible to visualize the PVR. At operation, measurement of pulmonary arterial pressure may be helpful,and careful inspection of the PVR should be diagnosed." @default.
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- W2015014408 date "1974-04-01" @default.
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- W2015014408 title "MASKED PULMONARY VENOUS OBSTRUCTION IN INFANCY" @default.
- W2015014408 doi "https://doi.org/10.1203/00006450-197404000-00073" @default.
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