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Total Anomalous Pulmonary Venous Connection - Autopsy Analysis of Seven Cases -
총폐정맥 환류 이상증 -7례 부검 분석

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Authors
Lee, Jeong Ryul; Kim, Yong Jin; Rho, Joon Ryang; Seo, Jeong Wook; Lee, Heung Jae; Choe, Ghee Young; Yun, Yong Soo; Suh, Kyung Phill
Issue Date
1990-12
Publisher
Seoul National University College of Medicine
Citation
Seoul J Med, Vol.31 No.4, pp. 281-291
Keywords
TAPVCPulmonary infiltration
Abstract
We studied 7 autopsied cases of total anomalous pulmonary venous connecton
(TAPVC). Three cases were supracardiac types, showing drainage to the innominate
vein through the left vertical vein. Stenosis at the beginning of the vertical vein was
associated in Case 1. The left upper pulmonary vein was connected distal to the stenosis,
and the left upper pulmonary lobe were severely congested after surgical ligation of
the upper portion of the vertical vein and anastomosis between the common pulmonary
vein and left atrium. The vertical vein in Case 2 was interposed between the left pulmonary
artery and the left main bronchus, and the long segment was stenotic. The collateral
channel through the paraesophageal venous plexus was present. An obstructing or stenotic
segment was not found along the whole pulmonary venous pathway in Case 3.
One case was a cardiac type in which both right and left pulmonary veins united to
produce a common pulmonary venous channel draining into a huge coronary sinus
(Case 4). Case 5 and Case 6 were infracardiac types draining into a common hepatic
vein through a small opening. The vertical segment of the common pulmonary veins
was short, and individual pulmonary veins were slender and long. Case 7 was a mixed
form of an anomalous drainage through the portal vein and the right superior caval
vein, respectively. We could find the common features of the long and slender individual
pulmonary veins in these cases and short transverse common pulmonary vein segments.
Unifocal narrowing of 1 pulmonary vein was seen in 1 supracardiac type case, as well
as in a mixed supracardiac type and infracardiac type case, which may be present
as an unexplained pulmonary infiltration before and after surgery.
ISSN
0582-6802
Language
English
URI
http://hdl.handle.net/10371/7324
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College of Medicine/School of Medicine (의과대학/대학원)Dept. of Medicine (의학과)The Seoul Journal of MedicineThe Seoul Journal of Medicine Vol. 31 No.4 (1990)
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