title: Anastomosis between the left atrial appendage and left superior vena cava in a patient with mitral atresia.
abstract: A 5-day-old boy with mitral atresia and restrictive interatrial communication underwent an anastomosis between the left atrial appendage and left superior vena cava draining to the right atrium after unsuccessful balloon atrial septostomy. Consequent reduction of left atrial pressure improved the child's clinical condition, enabling palliative surgery. This procedure may be done safely without cardiopulmonary bypass in a seriously ill patient with combined elevated left atrial pressure and persistent left superior vena cava.
authors.affiliation: Department of Cardiovascular Surgery, Ibaraki Children's Hospital, 3-3-1 Futabadai, Mito, Ibaraki 311-4145, Japan.
authors.forename: Masakazu
authors.initials: M
authors.lastname: Abe
authors.forename: Takeshi
authors.initials: T
authors.lastname: Isobe
authors.forename: Naotaka
authors.initials: N
authors.lastname: Atsumi
mesh_terms: D000714:Anastomosis, Surgical; D006325:Heart Atria / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D008943:Mitral Valve / Q000002:abnormalities*; D014683:Vena Cava, Superior / Q000601:surgery*