Abstract
An unusual case is presented, in which mitral stenosis was accompanied by a persistent left superior vena cava communicating through a venous channel with the left pulmonary veins. The pulmonary veins were normally connected to the left atrium, but, due to elevation of the left atrial pressure from the mitral valve lesion, pulmonary venous blood was directed up the left superior vena cava to reach the right atrium. Although from an anatomical viewpoint this did not constitute true anomalous pulmonary venous drainage, the condition behaved as such haemodynamically. It was only at operation that the diagnosis was firmly established, but after mitral valvotomy the abnormal venous channel was obliterated by simple ligation without incident.
Full text
PDF
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- ALDRIDGE H. E., WIGLE E. D. PARTIAL ANOMALOUS PULMONARY VENOUS DRAINAGE WITH INTACT INTERATRIAL SEPTUM ASSOCIATED WITH CONGENITAL MITRAL STENOSIS. Circulation. 1965 Apr;31:579–584. doi: 10.1161/01.cir.31.4.579. [DOI] [PubMed] [Google Scholar]
- Blake H. A., Hall R. J., Manion W. C. Anomalous pulmonary venous return. Circulation. 1965 Sep;32(3):406–414. doi: 10.1161/01.cir.32.3.406. [DOI] [PubMed] [Google Scholar]
- HASTREITER A. R., PAUL M. H., MOLTHAN M. E., MILLER R. A. Total anomalous pulmonary venous connection with severe pulmonary venous obstruction. A clinical entity. Circulation. 1962 Jun;25:916–928. doi: 10.1161/01.cir.25.6.916. [DOI] [PubMed] [Google Scholar]
- SNELLEN H. A., DEKKER A. ANOMALOUS PULMONARY VENOUS DRAINAGE IN RELATION TO LEFT SUPERIOR VENA CAVA AND CORONARY SINUS. Am Heart J. 1963 Aug;66:184–196. doi: 10.1016/0002-8703(63)90033-4. [DOI] [PubMed] [Google Scholar]
- ZION M. M. Mitral stenosis associated with anomalous pulmonary venous drainage into a left superior vena cava. Br Med J. 1956 May 5;1(4974):1020–1021. doi: 10.1136/bmj.1.4974.1020. [DOI] [PMC free article] [PubMed] [Google Scholar]