Supracardiac total anomalous pulmonary venous connection: the transaortopulmonary approach.
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.
Le Bret
Emmanuel
E
Service des Cardiopathies Congénitales, Centre Chirurgical Marie Lannelongue, Le Plessis Robinson, France. e.lebret@ccml.fr
Roubertie
François
F
Belli
Emre
E
Stos
Bertrand
B
Sigal-Cinqualbre
Anne
A
Roussin
Régine
R
Serraf
Alain
A
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