title: Supracardiac total anomalous pulmonary venous connection: the transaortopulmonary approach.
abstract: We have been confronted with patients in whom classical techniques did not offer optimum exposure to correct supracardiac forms of total anomalous pulmonary venous connection, especially in neonates. Therefore, we present a surgical modification of the superior approach for enhanced exposure as a result of transection of the ascending aorta associated or not with the transection of the pulmonary trunk. The transaortopulmonary approach ensures a perfect exposition without any need to pull on the surrounding structures. Because of the better exposure, most patients do not require circulatory arrest.
authors.affiliation: Service des Cardiopathies Congénitales, Centre Chirurgical Marie Lannelongue, Le Plessis Robinson, France. e.lebret@ccml.fr
authors.forename: Emmanuel
authors.initials: E
authors.lastname: Le Bret
authors.forename: François
authors.initials: F
authors.lastname: Roubertie
authors.forename: Emre
authors.initials: E
authors.lastname: Belli
authors.forename: Bertrand
authors.initials: B
authors.lastname: Stos
authors.forename: Anne
authors.initials: A
authors.lastname: Sigal-Cinqualbre
authors.forename: Régine
authors.initials: R
authors.lastname: Roussin
authors.forename: Alain
authors.initials: A
authors.lastname: Serraf
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods*; D001011:Aorta / Q000601:surgery*; D002315:Cardiopulmonary Bypass; D006325:Heart Atria / Q000601:surgery*; D006330:Heart Defects, Congenital / Q000401:mortality / Q000601:surgery*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D011183:Postoperative Complications / Q000401:mortality / Q000601:surgery; D011651:Pulmonary Artery / Q000601:surgery*; D011667:Pulmonary Veins / Q000002:abnormalities* / Q000601:surgery; D011668:Pulmonary Veno-Occlusive Disease / Q000401:mortality / Q000601:surgery; D012086:Reoperation