African Journal of Paediatric Surgery About APSON | PAPSA  
Home About us Editorial Board Current issue Search Archives Ahead Of Print Subscribe Instructions Submission Contact Login 
Users Online: 2Print this page  Email this page Bookmark this page Small font size Default font size Increase font size 
Year : 2013  |  Volume : 10  |  Issue : 2  |  Page : 131-134

Superior repair: A useful approach for some anatomic variants of total anomalous pulmonary venous connection

Department of Cardiac Surgery, Institute of Cardiovascular Diseases, Madras Medical Mission, Chennai, India

Correspondence Address:
Kelechi E Okonta
Division of Cardiothoracic, Department of Surgery, Surgery, University of Port Harcourt, PMB 5323, Port Harcourt, Nigeria and Department of Cardiac Surgery,Madras Medical Mission, Chennai - 600037
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0189-6725.115038

Rights and Permissions

Background: Total anomalous pulmonary venous connection (TAPVC) occurs when all the four pulmonary veins drain to the right atrium or to tributaries of the systemic veins. There have been various published techniques for the repair but none has been agreed on for the different anatomical variants that may be encountered during surgery. Patients and Methods: Between January 2005 and June 2010 the data of 6 of 18 patients who had surgical repair using the superior approach were retrospectively reviewed.Three patients had long narrow venous stalk connecting the coronary sinus to venous confluence; two had the right pulmonary veins draining to superior vena cava (SVC) and left pulmonary veins to left lateral wall of SVC and one had an obstruction at entrance of Pulmonary Vein into venous confluence. Results: Five patients initially had the superior approach while one had transatrial with unroofing of the coronary sinus. Two had a concomitant Wardens procedure. The mean aortic cross clamping was 87.5 (60-125) min, the mean cardiopulmonary bypass time should have min as unit of 127.8 (100-180), the mean Intensive Care Unit (ICU) stay of 2.5 (2-4) days and the mean hospital stay 8.2 (7-9) days. One patient died at early post-operation from low cardiac outputand five had an uneventful post-operative course and had remained stable until date. Conclusion: In our experience, the superior approach was an effective alternative approach for some anatomic variants of TAPVC that may be unexpectedly encountered during operation and also useful surgical approach for older children.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded204    
    Comments [Add]    
    Cited by others 1    

Recommend this journal