title: [Left atrial posterior wall flap method for II a type of the isolated total anomalous pulmonary venous drainage].
abstract: We address the left atrial posterior wall flap (LAPF) method for the isolated total anomalous pulmonary venous drainage( TAPVD) II a. The postoperative pulmonary venous obstruction( PVO) is a serious complication and is not rare after repair of the isolated TAPVD II a by the conventional surgical techniques. The LAPF method contains superiorities to prevent PVO to the conventional surgical techniques by wider left atrium(LA) - pulmonary vein(PV) communication, less risk of turbulence and no need of a prosthetic patch or an autologous pericardial patch. Furthermore, from a hemodynamic point of view, it makes LA-PV communication a functional preloading chamber which leads the postoperative hemodynamics stable. So, we think that the LAPF method is able to be a standard operative technique for the isolated TAPVD II a.
authors: Department of Thoracic Surgery, Ogaki Municipal Hospital, Ogaki, Japan.
authors: Shuji
authors: S
authors: Tamaki
authors: Yukifusa
authors: Y
authors: Yokoyama
authors: Jun
authors: J
authors: Yokote
authors: Motoshi
authors: M
authors: Kosakai
authors: Hideyuki
authors: H
authors: Okawa
authors: Satoshi
authors: S
authors: Yuhara
mesh_terms: D006348:Cardiac Surgical Procedures / Q000379:methods; D005260:Female; D006325:Heart Atria / Q000601:surgery; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D012587:Scimitar Syndrome / Q000601:surgery*; D013524:Surgical Flaps