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The Annals of Thoracic Surgery, Vol 44, 546-549, Copyright © 1987 by The Society of Thoracic Surgeons

ARTICLES

Persistent left superior vena cava causing subdivided left atrium: diagnosis, embryological implications, and surgical management

RJ Ascuitto, NT Ross-Ascuitto, GS Kopf, J Fahey, CS Kleinman, WE Hellenbrand and NS Talner
Section of Pediatric Cardiology, Yale University School of Medicine, New Haven, CT 06510.

A 3-month-old infant is described in whom a persistent left superior vena cava impinged on the posterior wall of the left atrium, producing a subdivided left atrium with left-to-right shunting and congestive heart failure. To our knowledge, this anomaly has not previously been reported. The preoperative diagnosis, surgical management, and embryological implications are discussed.

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