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The Annals of Thoracic Surgery, Vol 38, 345-355, Copyright © 1984 by The Society of Thoracic Surgeons
WH Williams, S Zorn-Chelton, AA Raviele, RE Michalik, RA Guyton, KJ Dooley and CR Hatcher Jr
Between June, 1982, and July, 1983, 6 children with partial anomalous
pulmonary venous connection to the middle or high segment of the superior
vena cava (SVC) underwent repair of the anomaly by division of the SVC
proximal to the site of entry of the anomalous pulmonary veins. Continuity
between the cephalad end of the SVC and the right atrium was established by
direct anastomosis to the right atrial (RA) appendage or by creation of a
pedicle conduit of RA appendage, RA free wall, and pericardium. The
anomalous pulmonary veins remained in situ on the lower segment of SVC,
blood being directed to the left atrium through an atrial septal defect by
a pericardial patch placed within the right atrium well away from the
sinoatrial node, anomalous pulmonary veins, and cavoatrial junction. All
children have survived, remain in normal sinus rhythm, and have no evidence
of vena caval or pulmonary venous obstruction. Follow-up cardiac
catheterizations, angiocardiograms, and Holter recordings support the
efficacy of this technique as an alternative in the management of anomalous
pulmonary veins joining the SVC well above the cavoatrial junction.
ARTICLES
Extracardiac atrial pedicle conduit repair of partial anomalous pulmonary venous connection to the superior vena cava in children
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