Yaroslav Ivanov, Yaroslav Mykychak. Kira Kuschnerus, Sulejman Abdusalamov, Mi-Young Cho, Joachim Photiadis
Deutsches Herzzentrum der Charité.
Germany
Multimedia Manual of Cardio-Thoracic Surgery
Multimed Man Cardiothorac Surg 2026;
DOI: 10.1510/mmcts.2026.071
Abstract
This case describes a combined conventional-to-sutureless repair of the supracardiac form of total anomalous pulmonary venous drainage in a neonate. The diagnosis was established via echocardiography in a patient presenting with mild symptoms. Anatomically, a well-developed pulmonary venous confluence was identified, with the vertical vein draining into the innominate vein and obstruction detected at the interatrial level. Although the patient was initially scheduled for a semi-elective conventional repair, an intraoperative mismatch between the left atrium and the pulmonary venous collector necessitated a switch to a sutureless technique. Postoperative echocardiography confirmed an unobstructed anastomosis between the left atrium and the pulmonary venous confluence. The postoperative course was uneventful, and at the 6-month follow-up, the patient is doing well with no evidence of pulmonary hypertension.
Category
Stenosis or Obstruction of Pulmonary Veins Following Surgical Repair of Anomalous Pulmonary Venous Connections
Patient Factors Influencing the Onset, Severity or Outcome of Disease
Surgical Interventions to Prevent or Limit Disease Associated with Repair of Anomalous Pulmonary Venous Connections or Heart Transplantation
Year of Publication: 2026
Age Focus: Pediatric
Article Type: Case Reports or Retrospective Observations in Small Groups of Patients (≤10 patients)
Article Access: Free PDF File or Full Text Article Available Through PubMed or DOI: Yes