James E. Lock, Russell V. Lucas, Kurt Amplatz, F. Blanton Bessinger Jr.
University of Minnesota
United States
Chest
Chest 1978; 73: 224-227
DOI:https://doi.org/10.1378/chest.73.2.224
Abstract
An 11-year-old girl was found to have completely obstructed left pulmonary veins eight years following corrective surgery for transposition of the great arteries. The patient was acyanotic and asymptomatic. Retrograde flow of arterial blood from the affected left lung accounted for an angiographic appearance that mimicked occlusion of the left pulmonary artery and resulted from a failure of systemic venous development. Pulmonary venous anatomy could only be demonstrated by pulmonary arterial wedge angiographic studies. This experience emphasizes that complete unilateral pulmonary venous obstruction may occur in an asymptomatic patient and underlines the importance of investigating pulmonary venous anatomy in any patient with gross inequality of the distribution of pulmonary blood flow.
Category
Stenosis or Obstruction of Pulmonary Veins Following Atrial Baffle Procedures for Transposition of the Great Arteries
Symptoms and Quality of Life Associated with Pulmonary Venous Obstruction
Diagnostic Testing. Invasive
Year of Publication: 1978
Age Focus: Pediatric
Article Type: Case Reports or Retrospective Observations in Small Groups of Patients (≤10 patients)
Article Access: Free PDF File or Full Text Article Available Through PubMed or DOI: No