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Ann Thorac Surg 2005;79:711-713
© 2005 The Society of Thoracic Surgeons

Case report

Novel Repair for Obstructed Total Anomalous Pulmonary Venous Connection to Coronary Sinus

Sajan Koshy, MCha, Raman Krishna Kumar, DMb, Rao Suresh Gururaja, MCha, Krishnanaik Shivaprakasha, MCh*,a

a Division of Cardiac Surgery, Kochi, India
b Division of Pediatric Cardiology, Amrita Institute of Medical Sciences and Research Center, Kochi, India

Accepted for publication August 28, 2003.

* Address reprint requests to Dr Shivaprakasha, Amrita Institute of Medical Sciences and Research Center, Kochi, Kerala 682 026, India
shivaprakashak{at}aimshospital.org

A 4-month-old infant underwent surgery for total anomalous pulmonary venous connection to the coronary sinus with obstructions both at the entry of the common chamber into the coronary sinus and at the patent foramen ovale. Using a novel technique, the right atrium was opened with a transverse incision. The coronary sinus was de-roofed. The coronary sinus–common chamber junction was split open into the common chamber. The incision extended up to the drainage of the right-sided pulmonary veins into the venous chamber. The common chamber was then anastomosed to left atrium thereby establishing an unobstructed pathway. The atrial septal defect was closed with a pericardial patch.






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