title: Surgical repair of an unusual type of supra-cardiac total anomalous pulmonary venous connection to the superior vena cava.
abstract: Anomalies of the pulmonary venous drainage vary widely in their anatomic spectrum and clinical presentation. We describe an unusual case of supra-cardiac total anomalous pulmonary venous connection (TAPVC), where the pulmonary veins drained directly in the posterior aspect of proximal right superior vena cava (SVC) through separate ostia. The veins were re-routed with a patch to the left atrium via the secundum atrial septal defect (ASD). The continuity between distal SVC and right atrium was re-established by re-implanting the SVC to the right atrial appendage (Warden Procedure).
authors.affiliation: Paediatric Cardiothoracic Surgery Department, Freeman Hospital, Newcastle Upon Tyne Hospitals NHS Trust, United Kingdom. giangio81@hotmail.com
authors.forename: Gianluigi
authors.initials: G
authors.lastname: Perri
authors.forename: Sergio
authors.initials: S
authors.lastname: Filippelli
authors.forename: Richard
authors.initials: R
authors.lastname: Kirk
authors.forename: Asif
authors.initials: A
authors.lastname: Hasan
authors.forename: Massimo
authors.initials: M
authors.lastname: Griselli
mesh_terms: D006325:Heart Atria / Q000002:abnormalities / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D011667:Pulmonary Veins / Q000002:abnormalities / Q000601:surgery*; D012587:Scimitar Syndrome / Q000175:diagnosis / Q000601:surgery*; D014682:Vena Cava, Inferior / Q000002:abnormalities / Q000601:surgery*; D014683:Vena Cava, Superior / Q000002:abnormalities / Q000601:surgery*