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Pulmonary Veins in Total Anomalous Pulmonary Venous Connection with Obstruction: Demonstration Using Silicone Rubber Casts
- Source :
- Pediatric Pathology. 11:711-720
- Publication Year :
- 1991
- Publisher :
- Informa UK Limited, 1991.
-
Abstract
- We studied the postmortem vascular anatomy of four patients with total anomalous pulmonary venous connection (TAPVC) with obstruction using a silicone rubber casting method. Two patients were studied clinically but died before therapeutic intervention, one died after corrective surgery, and another was not diagnosed before death. The morphologic types were supracardiac (2), infracardiac (1), and mixed (1). One of the supracardiac forms had a stenosis at the left vertical vein by a bronchoarterial vise, and a collateral channel to the right superior caval vein was also present. In the other supracardiac case, a left upper pulmonary vein was connected to the left vertical vein above the stenotic portion, resulting in postoperative pulmonary hemorrhage into the left upper lobe. The patient with infracardiac TAPVC had a tree-shaped descending vertical vein and small opening at the inferior caval vein. In the mixed type, a right upper pulmonary vein ran between the pulmonary artery and bronchus draining into the superior caval vein, and the rest of the drainage was to the portal vein.
- Subjects :
- medicine.medical_specialty
Bronchus
business.industry
medicine.disease
Pathology and Forensic Medicine
Surgery
Pulmonary vein
medicine.anatomical_structure
medicine.artery
Pediatrics, Perinatology and Child Health
Pulmonary artery
cardiovascular system
medicine
Radiology
Pulmonary hemorrhage
Total anomalous pulmonary venous connection
Vein
business
Pulmonary wedge pressure
Lower limbs venous ultrasonography
Subjects
Details
- ISSN :
- 02770938
- Volume :
- 11
- Database :
- OpenAIRE
- Journal :
- Pediatric Pathology
- Accession number :
- edsair.doi...........a8224aa64995809340cfe223b129b385