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(Circulation. 1959;19:486.)
© 1959 American Heart Association, Inc.

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Anomalous Drainage of Entire Pulmonary Venous System into Left Innominate Vein

Clinical and Surgical Considerations

DENTON A. COOLEY M.D.¹ HAROLD A. COLLINS M.D.¹

¹ From the Cora and Webb Mading Department of Surgery, Baylor University College of Medicine, and the surgical services of Texas Children's and Methodist Hospitals, Houston, Tex.

Total anomalous drainage of pulmonary venous blood produces a severe circulatory disturbance. In the most common type of this category of lesions, the entire venous return from the lungs enters a common venous channel ascending in the left superior mediastinum where it connects with the innominate vein. Seven cases of this type are described. Successful total correction was possible in 4 of these patients in whom a special technic was used, which incorporated the pump oxygenator for temporary cardiopulmonary bypass. This technic provides optimum conditions for complete correction of this complicated anomaly.