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Volume 3 Number 2, May - August, 1988

CASE REPORT

DOI: http://dx.doi.org/10.1590/S0102-76381988000200007

Anomalous drainage of the right inferior pulmonary vein into the inferior vena cava associated to intrathoracic hepatic appendix

Drenagem anômala de veia pulmonar inferior direita em veia cava inferior associada a apêndice hepático intracardíaco

Carlos R Moraes; Jorge V Rodrigues; Ivan de Lima Cavalcanti; Cláudio A Gomes; Lorella Marinucci

Correspondence To:
Carlos R. Moraes
Av. Portugal, 163
50.000 Recife, PE, Brasil

ABSTRACT
The authors present a case of a 61-year-old woman with anomalous drainage of the right inferior pulmonary vein into the inferior vena cava associated to an intrathoracic hepatic appendix herniated through a diaphragmatic defect. Surgical correction was obtained by direct anastomosis of the anomalous vein to the left atrium, reduction of the hepatic appendix to the abdominal cavity and closure of the diphragmatic defect. The postoperative course was unevenftul. The rarity of this condition is stressed.

Keywords pulmonary veins, anomalous drainage. hepatic appendix, intrathoracic.


RESUMO
Descreve-se o caso de uma paciente de 61 anos de idade, com drenagem anômala de veia pulmonar inferior direita em veia cava inferior, associada a apêndice hepático intratorácico, herniado através de fenda no diafragma. A correção cirúrgica foi realizada por anastomose direta da veia anômala com o átrio esquerdo, pela redução do apêndice hepático para a cavidade abdominal e, finalmente, pelo fechamento do defeito diafragmático. O pós-operatório decorreu sem qualquer complicação. Os autores chamam a atenção para a raridade do caso.

Palavras-Chave veias pulmonares, drenagem anômala. apêndice hepático intracardíaco.

Full text available only in portuguese PDF format.

REFERENCES

1. GILMAN, R. A.; SKOWRON, C. A. R.; MUSSER, B. G.; BAILEY, C. P. - Partial anomalous venous drainage. Am. J. Surg., 94(5): 688-694, 1957. [MedLine]

2. KIELY, B.; FILLER, J.; STONE, S.; DOYLE, E. F. - Syndrome of anomalous venous drainage of the right lung to the inferior vena cava: a review of 67 reported cases and three new cases in children. Am. J. Cardiol., 20(1): 102-116, 1967.

3. KIRKLIN, J. W.; ELLIS Jr., H.; WOOD, E. H. - Treatment of anomalous pulmonary venous connections in association with interatrial comunications. Surgery, 39(3): 389-398, 1956. [MedLine]

4. KIRKLIN, J. W. & BARRATT-BOYES, B. G. - Atrial septal defect and partial anomalous pulmonary venous connection. In: Cardiac surgery. New York, Niley, 1986. p. 463-498.

5. KOCH, W. & SILVA, A. - Anomalous drainage of pulmonary veins into the inferior vena cava: importance of planigraphic study. Radiology, 75(4): 592-594, 1960.

6. STEINBERG, I. - Roentgen diagnosis of anomalous pulmonary venous drainage of right lung into inferior vena cava: report to three new cases. Am. J. Roentgenol., 81(2): 280-289, 1959.

Article received on august 20, 1988.

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