Silent unilateral pulmonary venous obstruction. Occurrence after surgical correction of transposition of the great arteries

An 11-year-old girl was found to have completely obstructed left pulmonary veins eight years following corrective surgery for transposition of the great arteries. The patient was acyanotic and asymptomatic. Retrograde flow of arterial blood from the affected left lung accounted for an angiographic a...

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Veröffentlicht in:Chest 1978-02, Vol.73 (2), p.224-227
Hauptverfasser: J E Lock, R V Lucas, Jr, K Amplatz, F B Bessinger, Jr
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container_title Chest
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creator J E Lock
R V Lucas, Jr
K Amplatz
F B Bessinger, Jr
description An 11-year-old girl was found to have completely obstructed left pulmonary veins eight years following corrective surgery for transposition of the great arteries. The patient was acyanotic and asymptomatic. Retrograde flow of arterial blood from the affected left lung accounted for an angiographic appearance that mimicked occlusion of the left pulmonary artery and resulted from a failure of systemic venous development. Pulmonary venous anatomy could only be demonstrated by pulmonary arterial wedge angiographic studies. This experience emphasizes that complete unilateral pulmonary venous obstruction may occur in an asymptomatic patient and underlines the importance of investigating pulmonary venous anatomy in any patient with gross inequality of the distribution of pulmonary blood flow.
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subjects Blood Pressure
Cardiomegaly - complications
Child
Child, Preschool
Female
Heart Ventricles - diagnostic imaging
Humans
Infant
Oxygen - blood
Pulmonary Artery - diagnostic imaging
Pulmonary Veins - diagnostic imaging
Radiography
Transposition of Great Vessels - surgery
Venous Insufficiency - complications
Venous Insufficiency - diagnostic imaging
Venous Insufficiency - etiology
title Silent unilateral pulmonary venous obstruction. Occurrence after surgical correction of transposition of the great arteries
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