Unnoticed bilateral partial anomalous pulmonary vein connection

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Unnoticed bilateral partial anomalous pulmonary vein connection Juan Miguel Aguilar Jiménez, MD, Enrique García Torres, PhD, Francesco Arlati, MD, Juan V. Comas Íllas, PhD  The Journal of Thoracic and Cardiovascular Surgery  Volume 149, Issue 3, Pages e40-e42 (March 2015) DOI: 10.1016/j.jtcvs.2014.10.079 Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Selective stop-flow angiography at the level of the left inferior pulmonary vein draining through a collector into the left suprahepatic vein. A tortuous escape connection between the infradiaphragmatic collector and the roof of the left atrium was observed. The Journal of Thoracic and Cardiovascular Surgery 2015 149, e40-e42DOI: (10.1016/j.jtcvs.2014.10.079) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 A, Dissection and control of the left inferior pulmonary vein with vessel loop. B, The collector opened longitudinally. C, Collector left atrium anastomosis. D, Right atriotomy parallel to the atrioventricular groove extended to the lateral aspect of the superior vena cava. Collector left atrium anastomosis through the ASD and vacuum pump inside the right superior pulmonary vein. The Journal of Thoracic and Cardiovascular Surgery 2015 149, e40-e42DOI: (10.1016/j.jtcvs.2014.10.079) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions