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Ann Thorac Surg 2000;70:973
© 2000 The Society of Thoracic Surgeons

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Invited commentary

Invited commentary

^a Division of Thoracic and Cardiovascular Surgery, Department of Surgery, University of Virginia Health System, Box 310, Charlottesville, VA, 22908 USA,

e-mail: ikron@virginia.edu

Invited commentary

The issue of whether the anomalous vertical vein (VV) should be ligated during repair of total anomalous pulmonary venous connection (TAPVC) is controversial. Traditionally, most surgeons have emphasized routine interruption of the VV at the time of TAPVC repair to prevent the perceived consequence of a residual left-to-right shunt. However, we recently demonstrated that not only is routine VV ligation unnecessary, but this practice may actually be undesirable for patients with small left heart chambers [1]. Previously, it was shown that the left atrium and ventricle are notoriously small and dysfunctional in TAPVC . . . [Full Text of this Article]

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