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Ann Thorac Surg 1998;65:1783-1784
© 1998 The Society of Thoracic Surgeons

Case Reports

Anastomosis of the Left Juxtaposed Atrial Appendages in a Patient With Tricuspid Atresia

Yukihiro Kaneko, MDa, Hideo Okabe, MDa, Nobuhiro Nagata, MDa, Jotaro Kobayashi, MDa, Shinya Kanemoto, MDa

a Department of Thoracic and Cardiovascular Surgery, Kanagawa Children’s Medical Center, Yokohama, Japan

Accepted for publication December 29, 1997.

Address reprint requests to Dr Kaneko, Department of Cardiothoracic Surgery, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113, Japan

A 9-month-old boy with left juxtaposition of the atrial appendages, tricuspid atresia, pulmonary atresia, and ventriculoarterial discordance underwent anastomosis between the atrial appendages after failure of balloon/blade atrial septostomy because of restrictive atrial septal defect. For surgical creation of atrial communication in patients with juxtaposed atrial appendages, anastomosis between the atrial appendages seemed to be safer, more effective, and less invasive than septectomy by Blalock-Hanlon technique or inflow occlusion technique.






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