Repair of total anomalous pulmonary venous connection without cardiopulmonary bypass

Two infants with asplenia syndrome and pulmonary venous obstruction underwe nt repair of total anomalous pulmonary venous connection without cardiopulm onary bypass in 1988. Using a side-biting clamp, an anastomosis between the left upper pulmonary vein and left superior vena cava-atrial junction was satisfactorily created without undue instability. Furthermore, both cases h ad the advantage of efficient growth in the anastomotic site postoperativel y. (C) 2001 by The Society of Thoracic Surgeons.