Transcaval Correction of Partial Anomalous Pulmonary Venous Drainage Into the Superior Vena Cava Mohamed Nassar, MD, Virginie Fouilloux, MD, Loïc Macé,

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Transcaval Correction of Partial Anomalous Pulmonary Venous Drainage Into the Superior Vena Cava Mohamed Nassar, MD, Virginie Fouilloux, MD, Loïc Macé, MD, Bernard Kreitmann, MD, PhD, Dominique Metras, MD The Annals of Thoracic Surgery Volume 93, Issue 1, Pages 193-196 (January 2012) DOI: 10.1016/j.athoracsur.2011.09.042 Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Three anomalous pulmonary veins (PV) enter the terminal part of the superior vena cava (SVC) with the cannulation site high enough above the site of drainage of the pulmonary veins. (IVC = inferior vena cava; RA = right atrium.) The Annals of Thoracic Surgery 2012 93, 193-196DOI: (10.1016/j.athoracsur.2011.09.042) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 After a vertical incision of the superior vena cava, the orifice of the abnormal pulmonary veins (PV) is well seen. (RA = right atrium; SVD = sinus venosus defect.) The Annals of Thoracic Surgery 2012 93, 193-196DOI: (10.1016/j.athoracsur.2011.09.042) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 The patch is sutured to the inferior and medial edge of the sinus venosus atrial septal defect and in the terminal superior vena cava anterior to the pulmonary vein (PV), dividing an anterior caval channel and a posterior pulmonary channel. (RA = right atrium; SVD = sinus venosus defect.) The Annals of Thoracic Surgery 2012 93, 193-196DOI: (10.1016/j.athoracsur.2011.09.042) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 After finishing the suture of the patch at the site of incision (*) in the sandwich technique, the suture stands well above the cavoatrial junction. The Annals of Thoracic Surgery 2012 93, 193-196DOI: (10.1016/j.athoracsur.2011.09.042) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions