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Ann Thorac Surg 1986;42:560-564
© 1986 The Society of Thoracic Surgeons

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Articles

Repair of Left Superior Vena Cava Entering the Left Atrium

From the Department of Surgery, Division of Cardiothoracic Surgery, and the Alabama Congenital Heart Disease Diagnosis and Treatment Center, University of Alabama at Birmingham, Birmingham, AL

Accepted for publication January 24, 1986.

^* Address reprint requests to Dr. Pacifico, Division of Cardiothoracic Surgery, University Station, Birmingham, AL 35294

Connection of an anomalous left superior vena cava to the left atrium is an uncommon lesion that is usually associated with other complex intracardiac malformations. A technique for diverting the anomalous caval return along the left atrial roof and into the right atrium is presented. This simple tunnel method avoids potential obstruction to systemic and pulmonary venous return and leaves viable atrial tissue comprising the majority of the new pathway. The technique and results in 7 patients are described.

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