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European Journal of Cardio-Thoracic Surgery, Vol 4, 45-47, Copyright © 1990 by European Association for Cardio-thoracic Surgery
WR Thies, W Matthies, K Minami, U Pott, H Meyer and R Korfer
The combination of a d-transposition of the great arteries, cor triatriatum
sinistrum and a total anomalous pulmonary venous connection of the
infracardiac type is a very rare condition. Up to now, one surgical repair
in an adolescent with transposed great arteries and total anomalous
pulmonary venous drainage of the supracardiac type has been reported. In
this paper, an infant with the above mentioned cardiovascular malformation
is presented. The common pulmonary vein drained into the inferior vena cava
and was obstructed. There were arborisation abnormalities in both lungs
with mild pulmonary hypertension. The infant has been successfully operated
upon at the age of 6 months and a weight of 4.5 kg. The membrane within the
left atrium was resected, the common pulmonary vein was anastomosed to the
left atrium and a Mustard procedure was performed. During the first 6
postoperative weeks, the infant had problems with adaptation. There was
both a transient ballooning of the Mustard patch with significant
obstruction of the pulmonary venous drainage and a delayed pulmonary
recovery. Two months later, the patch was straightened and the child could
be discharged from hospital. After 12 months, the child died from an
infection of the airways.
ARTICLES
Surgical repair and postoperative course of an infant with infracardiac total anomalous pulmonary venous connection, cor triatriatum sinistrum and transposition of the great arteries
Department of Pediatric Cardiology, Heart Center North Rhine- Westphalia, Bad Oeynhausen, FRG.
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