The Journal of Thoracic and Cardiovascular Surgery, Vol 73, 316-318, Copyright © 1977 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
Gastrointestinal hemorrhage. An unusual complication of total anomalous pulmonary venous drainage
DR King and MB Marchildon
A newborn boy had exsanguinating gastrointestinal hemorrhage in in the
first week of life secondary to an unusual form of infradiaphragmatic
pulmonary venous drainage. Autopsy and postmortem angiograms demonstrated
huge esophageal varices as the course of the uncontrolled bleeding. The
occurrence of massive gastrointestinal hemorrhage should be considered to
be a rare but possibly lethal complication in patients with total anomalous
pulmonary venous drainage (TAPVD) type III and IV.