Pulmonary resection and contralateral anomalous venous drainage: a lethal combination.
A 72-year-old acyanotic woman had development of acute right heart failure with systemic hypotension 2 hours after a curative right intrapericardial pneumonectomy for primary lung cancer. A postoperative pulmonary angiogram revealed a major left to right shunt through previously unsuspected partial anomalous venous drainage of the left upper lobe of the lung.
Black
M D
MD
Department of Thoracic Surgery, Ottawa Civic Hospital, Ontario, Canada.
Shamji
F M
FM
Goldstein
W
W
Sachs
H J
HJ
D000230:Adenocarcinoma / Q000601:surgery; D000368:Aged; D016121:Brachiocephalic Veins / Q000002:abnormalities*; D001984:Bronchial Neoplasms / Q000601:surgery; D002303:Cardiac Output, Low / Q000209:etiology*; D002305:Cardiac Tamponade / Q000209:etiology; D005260:Female; D006801:Humans; D007022:Hypotension / Q000209:etiology*; D011013:Pneumonectomy / Q000009:adverse effects*; D011667:Pulmonary Veins / Q000002:abnormalities*