Window anastomosis technique for repair of supracardiac total anomalous
pulmonary venous connection in infants
Abstract
Outcomes of operations for total anomalous pulmonary venous connection
(TAPVC) have improved.However, postoperative pulmonary venous
obstruction (PVO) remains the most significant complication, with high
morbidity and mortality. We introduce a window anastomosis technique for
repair of supracardiac TAPVC in infants. The mainstay of the surgical
technique is to resect the anterior wall of the pulmonary vein
confluence(PVC) and part of the posterior wall of the left atrium to
form a large and undistorted “window to window” anastomosis.