Window anastomosis technique for repair of supracardiac total anomalous pulmonary venous connection in infants

Gang Wang; Gengxu Zhou; Jieqiong Wang; Hui Wang; Zhichun Feng

doi:10.1111/jocs.16871

Window anastomosis technique for repair of supracardiac total anomalous pulmonary venous connection in infants

J Card Surg. 2022 Nov;37(11):3988-3990. doi: 10.1111/jocs.16871. Epub 2022 Aug 21.

Authors

Gang Wang^{1

2}, Gengxu Zhou^{1

2}, Jieqiong Wang², Hui Wang², Zhichun Feng^{1

3}

Affiliations

¹ The Second School of Clinical Medicine, Southern Medical University, Guangzhou, China.
² Department of Pediatric Cardiac Surgery, The Seventh Medical Center of the PLA General Hospital, Beijing, China.
³ Department of Pediatrics, The Seventh Medical Center of the PLA General Hospital, Beijing, China.

PMID: 35989528
DOI: 10.1111/jocs.16871

Abstract

Outcomes of operations for total anomalous pulmonary venous connection (TAPVC) have improved. However, postoperative pulmonary venous obstruction remains the most significant complication with high morbidity and mortality. We introduce a window anastomosis technique for repair of supracardiac TAPVC in infants. The mainstay of the surgical technique is to resect the anterior wall of the pulmonary vein confluence and part of the posterior wall of the left atrium to form a large and undistorted "window to window" anastomosis.

Keywords: anastomosis; congenital heart disease; total anomalous pulmonary venous connection.

MeSH terms

Anastomosis, Surgical / methods
Heart Atria / surgery
Heart Defects, Congenital* / surgery
Humans
Infant
Pulmonary Veins* / abnormalities
Pulmonary Veins* / surgery
Scimitar Syndrome* / surgery
Vascular Diseases*