We present herein the case of a 48-year-old patient who had undergone repair of total anomalous pulmonary venous return at the age of 14 months, in March 1960, at Texas Children's Hospital. When this patient voluntarily underwent re-examination in 2007, echocardiography revealed the late results of surgery that had been performed 47 years earlier: normal pulmonary venous velocity, patent pulmonary venous return, and no substantial electrocardiographic abnormalities. This patient is perhaps the oldest known survivor of surgical repair of total anomalous pulmonary venous return.