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Ann Thorac Surg 2007;84:312-313
© 2007 The Society of Thoracic Surgeons

How To Do It

Modified Superior Repair for Supracardiac Total Anomalous Pulmonary Venous Connection in the Adult

John J. Nigro, MD, MSa,*, Steven Choi, MDa, Joseph Graziano, MDa, Kimberly Lynn Gandy, MD, PhDb, Lourdes M. Guerrero-Tiro, MDa, David C. Cleveland, MDa

a The Congenital Heart Center, Heart & Lung Institute, Saint Joseph’s Hospital and Medical Center, Phoenix, Arizona
b Department of Cardiothoracic Surgery, University of Arizona, Tuscon, Arizona

Accepted for publication October 16, 2006.

* Address correspondence to Dr Nigro, The Congenital Heart Center, Heart & Lung Institute, Saint Joseph’s Hospital and Medical Center, 500 W Thomas Rd, Suite 500, Phoenix, AZ 85013 (Email: john.nigro{at}chw.edu).

Repair of total anomalous pulmonary venous connection has been well described and is associated with good long-term outcomes for neonates and infants. Although rare, some patients initially present at adolescence or during adulthood and repair is complicated by compensatory changes related to chronic volume overload. Transection of the superior vena cava facilitates both exposure of the venous confluence and repair in these patients.






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Copyright © 2007 by The Society of Thoracic Surgeons.