Primary Sutureless Repair of Total Anomalous Pulmonary Venous Connection: Suture-and-Open Technique

Abstract

We used a suture-and-open technique with a biatrial incision for primary sutureless repair of total anomalous pulmonary venous connection (TAPVC). With this technique, the common pulmonary venous sinus and its branching pulmonary veins are opened after completion of suturing of the left atrial incision to the pericardium around the common pulmonary venous sinusand its branching veins. The technique allows theprimary sutureless repair of TAPVC to be done in alessbloody field under full-flow cardiopulmonary bypass. We have performed this technique in our recent5 consecutive TAPVC patients without significant complications.