title: Modified "sutureless" anastomosis for primary repair of supracardiac total anomalous pulmonary venous connection.
abstract: Repair of total anomalous pulmonary venous connection (TAPVC) is associated with a risk of recurrent pulmonary venous obstruction. In this article we describe a technique of primary repair using a posterior approach in which a modified sutureless anastomosis is constructed by suturing the left atrium to the posterior pericardium that surrounds the pulmonary venous confluence. This technique avoids trauma to the pulmonary venous wall and minimizes the risk of distortion of the anastomosis, factors that have been implicated in the occurrence of subsequent pulmonary venous obstruction.
authors.affiliation: Holtz Children's Hospital/Jackson Memorial Hospital, University of Miami Miller School of Medicine, Miami, Florida, USA.
authors.forename: Maria R
authors.initials: MR
authors.lastname: Suarez
authors.forename: Anthony L
authors.initials: AL
authors.lastname: Panos
authors.forename: Tomas A
authors.initials: TA
authors.lastname: Salerno
authors.forename: Marco
authors.initials: M
authors.lastname: Ricci
mesh_terms: D000714:Anastomosis, Surgical / Q000009:adverse effects / Q000379:methods; D006325:Heart Atria / Q000473:pathology / Q000601:surgery*; D006801:Humans; D010496:Pericardium / Q000601:surgery*; D011667:Pulmonary Veins / Q000002:abnormalities / Q000601:surgery*; D013537:Sutures; D054079:Vascular Malformations / Q000601:surgery*