title: Total anomalous pulmonary venous connection with ventricular septal defects.
abstract: The association of total anomalous pulmonary venous connection with ventricular septal defect and aortic coarctation is rare. A premature neonate weighing 1350 g was diagnosed with infracardiac total anomalous pulmonary venous connection, aortic coarctation, and a perimembranous ventricular septal defect. On postnatal day 23, we performed emergency extended aortic arch anastomosis under total circulatory arrest, pulmonary venous connection repair using a primary sutureless technique, and patch closure of the atrial septal and perimembranous ventricular septal defects. The patient was discharged without complications. Postoperative echocardiography showed no residual coarctation or pulmonary venous obstruction and revealed small muscular ventricular septal defects.
authors.affiliation: 1 Department of Pediatric Cardiovascular Surgery, Okinawa Prefectural Nanbu Medical Center & Children's Medical Center, Haebaru-cho, Okinawa, Japan.
authors.forename: Tai
authors.initials: T
authors.lastname: Fuchigami
authors.affiliation: 1 Department of Pediatric Cardiovascular Surgery, Okinawa Prefectural Nanbu Medical Center & Children's Medical Center, Haebaru-cho, Okinawa, Japan.
authors.forename: Masahiko
authors.initials: M
authors.lastname: Nishioka
authors.affiliation: 1 Department of Pediatric Cardiovascular Surgery, Okinawa Prefectural Nanbu Medical Center & Children's Medical Center, Haebaru-cho, Okinawa, Japan.
authors.forename: Toru
authors.initials: T
authors.lastname: Akashige
authors.affiliation: 2 Department of Pediatric Cardiology, Okinawa Prefectural Nanbu Medical Center & Children's Medical Center, Haebaru-cho, Okinawa, Japan.
authors.forename: Taisuke
authors.initials: T
authors.lastname: Nabeshima
authors.affiliation: 1 Department of Pediatric Cardiovascular Surgery, Okinawa Prefectural Nanbu Medical Center & Children's Medical Center, Haebaru-cho, Okinawa, Japan.
authors.forename: Nobuhiro
authors.initials: N
authors.lastname: Nagata
mesh_terms: D000015:Abnormalities, Multiple; D001017:Aortic Coarctation / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery; D001724:Birth Weight; D006348:Cardiac Surgical Procedures; D002315:Cardiopulmonary Bypass; D018618:Echocardiography, Doppler, Color; D005865:Gestational Age; D006345:Heart Septal Defects, Ventricular / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D006439:Hemodynamics; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D019102:Infant, Very Low Birth Weight; D008297:Male; D011652:Pulmonary Circulation; D012587:Scimitar Syndrome / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D000071062:Sutureless Surgical Procedures; D016896:Treatment Outcome
keywords: Abnormalities; Aortic coarctation; Cardiac surgical procedures; Heart defects; Infant; Pulmonary veins; congenital; multiple; newborn