Total anomalous pulmonary venous connection surgery

Total anomalous pulmonary venous connection Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Cafer Zorkun, M.D., Ph.D. [2]; Keri Shafer, M.D. [3]; Priyamvada Singh, MBBS [4]; Assistant Editor-In-Chief: Kristin Feeney, B.S. [[5]]

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Overview

Due to the poor prognosis in untreated patients, surgery should be performed as soon as possible.

Surgery

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Surgery should be performed as soon as possible in the patients of total anomalous pulmonary venous connection. The surgical procedure varies depending upon the anatomy of the TAPVC lesion.

• Supracardiac and infracardiac TAPVC: Connection is created between the pulmonary veins and the left atrium. The vertical vein is tied up so that the abnormal blood flow could be prevented.
• Pulmonary veins directly connected to the superiorvenacava: An intracardiac baffle is created that helps in transfer of blood from the right atrium, through atrial septum into the left atrium.
• Intracardiac (pulmonary vein connected to the coronary sinus): Coronary sinus is incised and connected to left atrium.
• Intracardiac (pulmonary vein opening directly into the right atrium): A interatrial connection is made and the blood is redirected from right atrium to left atrium.