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January 1963

Total Anomalous Pulmonary Venous Drainage: Results of Open-Heart Correction in Four Infants

Author Affiliations

Glen G. Cayler, M.D., Children's Memorial Hospital, University of Oklahoma Medical Center, 800 N.E. 13th St., Oklahoma City 4, Okla.; Department of Pediatrics (Dr. Ryan, Dr. Cayler); Department of Surgery (Dr. Williams, Dr. Snyder, Dr. Richardson, Dr. Campbell); Department of Radiology (Dr. Taybi).; Dr. Ryan was a Research Fellow of the National Institute of Health, 1960-1961; Dr. Cayler was an advanced Research Fellow of the American Heart Association, 1959-1961.; From the Departments of Pediatrics, Surgery, and Radiology, Children's Memorial Hospital, University of Oklahoma Medical Center.

Am J Dis Child. 1963;105(1):42-52. doi:10.1001/archpedi.1963.02080040044007

During the past 10 years, both diagnosis and surgical treatment of many forms of congenital heart disease have become simplified and are performed routinely and successfully in many centers. Problems associated with management of the less common, more complex cardiac anomalies are, however, still far from solved. One of the most interesting, relatively less common, groups are the patients with total anomalous pulmonary venous drainage. Without treatment, the majority of these patients die in infancy. The lesions appear to be anatomically correctable, and yet the first few years of surgical experience with such patients have been disappointing.

The purposes of this paper are to present 4 infants with total anomalous pulmonary venous return treated surgically, to review the reported surgical results, and to discuss the present status of surgical treatment of this group of patients.

Report of Cases  Case 1.—This 6-month-old white female was admitted to the Children's Memorial

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