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Bernard L. Tucker
George G. Lindesmith
Quentin R. Stiles
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Ann Thorac Surg 1976;22:374-377
© 1976 The Society of Thoracic Surgeons

Articles

The Superior Approach for Correction of the Supracardiac Type of Total Anomalous Pulmonary Venous Return

Bernard L. Tucker, M.D.*, George G. Lindesmith, M.D., Quentin R. Stiles, M.D., Bert W. Meyer, M.D.

Division of Thoracic and Cardiovascular Surgery, Children's Hospital, Los Angeles, CA.

Accepted for publication January 13, 1976.

* Address reprint requests to Dr. Tucker, 1136 W Sixth St, Los Angeles, CA 90017.

An alternative approach for correction of supracardiac (type I) total anomalous pulmonary venous return is described. A median sternotomy is used. The posterior wall of the left atrium and the common pulmonary venous trunk are exposed through the transverse sinus. A direct anastomosis between these structures, ligation of the systemic-venous connection (vertical vein), and closure of the interatrial septal defect results in a one-stage repair. In our experience with the supracardiac anomaly in 20 patients, we have found that this approach consistently affords better exposure than other techniques currently in use for surgical correction of this anomaly.




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