Mixed total anomalous pulmonary venous connection (TAPVC) is a rare conditi
on, accounting for only 5% of diagnosed TAPVC. It is associated with a poor
prognosis unless surgically corrected by connecting the pulmonary venous s
inus to the left atrium and optionally dividing the abnormal connection to
the systemic venous system. We report a modified technique of complete intr
acardiac repair of mixed supracardiac and cardiac TAPVC in a S-year-old chi
ld without pulmonary venous sinus-to-left atrium anastomosis. (C) 2001 by T
he Society of Thoracic Surgeons.