Superior Approach for Supracardiac Total Anomalous Pulmonary Venous Connection

Thursday, May 31, 2018

Submitted by

Claire Vernon

Source

Source Name: The Annals of Thoracic Surgery

Source URL: https://doi.org/10.1016/j.athoracsur.2018.01.039

Author(s)

Rong Liufu, Guocheng Shi, Fang Zhu, Yongmei Guan, Zhaohui Lu, Weimin Chen, Zhongqun Zhu, Huiwen Chen

Liufu and colleagues evaluated outcomes for repair of supracardiac total anomalous pulmonary venous connection via the superior approach in 198 pediatric patients, with a median age of 95 days at the time of surgery. Repair via the superior approach avoids dispensable incisions to the atrial septum, extra force being placed on the heart, and potential anastomotic distortion. The authors found that rates of both survival (97%) and freedom from postoperative pulmonary venous obstruction (85%) were acceptable using this approach.

Comments

Submitted by Devendra Saksena on Wed, 2018-06-06 07:25

The Superior approach for Supra Cardiac Total Anomalous Pulmonary Venous drainage was described by Myers et al fromChildrens Hospital in Los Angeles subsequently the Superior approach was described by Saksena et al at the S T S meeting in Dallas and subsequently published in the Annals of Thoracic Surgery with excellent results in over 200 patients We continue to use this approach in both Mitral valve surgery and Total Anomalous pulmonary venous connection with excellent results.