An Autopsy Case of Supra-cardiac Type of Total Anomalous Pulmonary Vein Connection (TAPVC) who Survived until the Age of 65 with Conservative Medical Treatment Tatsuji Kanoh 1 , Tomohisa Osaka 1 , Akira Yamasaki 1 , Osamu Yamanaka 1 , Seiryou Kobayashi 1 , Hideki Kasuya 1 , Haruo Ozaki 1 , Shigeru Tominaga 1 , Kazuhisa Ishi 2 , Sachio Kawai 3 , Ryozo Okada 3 1Department of Internal Medicine, Juntendo Urayasu Hospital 2Department of Clinical Laboratory, Juntendo Urayasu Hospital 3Department of Cardio-Vascular Pathology, Juntendo University Keyword: 総肺静脈還流異常症 , 自然歴 , 長期生存 , total anomalous pulmonary vein connection , natural history , adult case pp.93-98
Published Date 1994/1/15
DOI https://doi.org/10.11477/mf.1404900806
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A 65 year-old woman with supra cardiac type of total anomalous pulmonary vein connection (TAPVC) died of heart failure associated with pneumonia. At the age of 49 when she had an operation for gastric cancer, she was diagnosed as having TAPVC. Since then, she had been treated conservatively and was admitted to hospital 10 times because of heart failure, cardiac arrhythmias, diabetes mellitus, and/or pneumonia. At autopsy, the length of the anomalous vein which was connected to the superior vena cava was 5 cm without obstruction, and the size of the associated atrial septal defect (secundum type) was 2×2 cm.

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