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Hiroyuki Nakajima
Junjiro Kobayashi
Toshikatsu Yagihara
Soichiro Kitamura
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Ann Thorac Surg 2004;77:2226-2227
© 2004 The Society of Thoracic Surgeons

How to do it

Modified cavoatriotomy for combined PAPVC repair and maze procedure

Hiroyuki Nakajima, MDa*, Hideki Uemura, MDa, Junjiro Kobayashi, MDa, Koji Kagisaki, MDa, Toshikatsu Yagihara, MDa, Soichiro Kitamura, MDa

a Department of Cardiovascular Surgery, National Cardiovascular Center, Osaka, Japan

Accepted for publication August 1, 2003.

* Address reprint requests to Dr Nakajima, Department of Cardiovascular Surgery, National Cardiovascular Center, 5-7-1 Fujishirodai, Suita, Osaka 565-8565, Japan.
e-mail: hnakajim{at}hsp.ncvc.go.jp

In patients with partial anomalous pulmonary venous connection (PAPVC) to the superior cavoatrial junction, the standard right-sided left atriotomy does not allow sufficient access to the mitral valve and the left atrium. And the injury and traction of the sinus node and sinus node artery should be avoided for prevention of the cardiac rhythm disturbance after operation. We herein report a useful approach to repair the sinus venosus atrial septal defect with PAPVC of the right pulmonary veins to the superior cavoatrial junction in patients also requiring mitral valve replacement and the maze procedure.






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