Modified repair of mixed total anomalous pulmonary venous connection

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.