Fig. 2

Surgical repair of the total anomalous pulmonary venous connection. A Cardiopulmonary bypass was established with ascending aortic perfusion and direct bicaval venous drainage. B The vertical vein was ligated at its confluence with the innominate vein and was divided and incised toward the pulmonary venous chamber. The corresponding posterior wall of the left atrium was incised longitudinally toward the left atrial appendage. Between the pulmonary venous chamber with vertical vein and the left atrium was anastomosed using 7–0 PDS running sutures. C The pulmonary venous chamber containing the vertical vein was anastomosed to the left atrium using 7–0 PDS running sutures. LUPV, left pulmonary vein; LLPV, left lower pulmonary vein; MPA, main pulmonary artery; VV, vertical vein; InnV, innominate vein; SVC, supra vena cava; Ao, aorta; IVC, inferior vena cava; RA, right atrium; LA, left atrium; RV, right ventricle; LV, left ventricle; LAA, left atrial appendage; PVC, pulmonary venous chamber