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  • Title: [A case of re-operation of pulmonary venous obstruction following surgical repair of total anomalous pulmonary venous return].
    Author: Kawachi H, Wada Y, Kawai T, Ito M, Oga K, Oka T.
    Journal: Nihon Kyobu Geka Gakkai Zasshi; 1989 Dec; 37(12):2558-62. PubMed ID: 2625571.
    Abstract:
    A case of six-month old female with pulmonary venous obstruction (PVO) following surgical repair of total anomalous pulmonary venous return (TAPVR) is reported. A digital subtraction angiography (DSA) performed at 9 days after birth showed a supracardiac type of TAPVR (Darling Ia) with pulmonary venous stenosis and pulmonary hypertension. On the following day she underwent a corrective operation through posterior approach. The anastomosis between common pulmonary venous chamber and left atrium had released the pulmonary venous stenosis. Nevertheless, the pulmonary hypertension progressed after the operation. Five months later a cardiac catheterization data showed PVO. Six months after the first operation she underwent a corrective re-operation for release from the PVO using EPTFE (expanded polytetrafluoroethylene) patch. Postoperatively the symptoms caused by PVO and pulmonary hypertension were markedly improved.
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