Lateral Approach Repair for Supracardiac Total Anomalous Pulmonary Venous Connection

A collection of congenital cardiac defects known as TAPVC are those in which the pulmonary veins empty into the right atrium or any of its branches. Based on the level of the anomalous connecting vein's connection, TAPVCs are divided into four categories: supracardiac, cardiac, infracardiac, and mixed. By determining whether restricted pulmonary venous drainage is present or not, TAPVs can be further divided into obstructive and nonobstructive varieties. A variety of surgical corrective techniques are required in this case.

This video summarizes each step of the lateral approach surgical repair of a supracardiac TAPVC. The lateral approach yields a good long-term result and is simpler, more reproducible, and less time consuming than other surgical techniques.

Reference(s)

1. Shi G, Zhu Z, Chen J, Ou Y, et al. Total Anomalous Pulmonary Venous Connection. Circulation. 2017;135(1):48–58.

2. Fraser C. “Lateral” Approach to Surgical Repair of Total Anomalous Pulmonary Venous Return. Operative Techniques in Thoracic and Cardiovascular Surgery. 2006;11(4):275–285.