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European Journal of Cardio-Thoracic Surgery, Vol 6, 545-549, Copyright © 1992 by European Association for Cardio-thoracic Surgery

ARTICLES

Pulmonary venous obstruction following correction for total anomalous pulmonary venous drainage: a challenge

HJ van de Wal, DI Hamilton, MJ Godman, E Harinck, LK Lacquet and A van Oort
Department of Cardiac Surgery, Wilhelmina Children's Hospital, Utrecht, The Netherlands.

Pulmonary venous obstruction after surgical correction of total anomalous pulmonary venous drainage (TAPVD) is a serious condition. Pulmonary venous obstruction can be the result of a primary developmental error or is due to post-operative anastomotic stricture and is usually manifest within 6 months of surgery. Prompt restudy is indicated and if a stricture is present, urgent surgical relief is indicated. However, the results are often disappointing with a high early mortality and a significant chance of restenosis.

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