Modified “sutureless” anastomosis for primary repair of supracardiac total anomalous pulmonary venous connection

Maria R. Suarez, Anthony L. Panos, Tomas A. Salerno, Marco Ricci
Holtz Children’s Hospital, Jackson Memorial Hospital and University of Miami Miller School of Medicine.
United States

Journal of Cardiac Surgery
J Card Surg 2009; 24: 564-566
DOI: 10.1111/j.1540-8191.2009.00886.x

Abstract
Repair of total anomalous pulmonary venous connection (TAPVC) is associated with a risk of recurrent pulmonary venous obstruction. In this article we describe a technique of primary repair using a posterior approach in which a modified sutureless anastomosis is constructed by suturing the left atrium to the posterior pericardium that surrounds the pulmonary venous confluence. This technique avoids trauma to the pulmonary venous wall and minimizes the risk of distortion of the anastomosis, factors that have been implicated in the occurrence of subsequent pulmonary venous obstruction.

Category
Segmental Pulmonary Venous Disease. Without a Focus on Pulmonary Hypertension
Surgical and Catheter-mediated Interventions for Pulmonary Vascular Disease

Age Focus: Pediatric Pulmonary Vascular Disease

Fresh or Filed Publication: Filed (PHiled). Greater than 1-2 years since publication

Article Access
Free PDF File or Full Text Article Available Through PubMed or DOI: No

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