الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
The ideal technique for addressing partial anomalous pulmonary venous drainage (PAPVD) into the superior vena cava (SVC) with or without sinus venosus atrial septal defect (ASD) remains a debate. The anatomical complexity of the superior cavo-atrial junction increases the risk of surgical complications. The risk of sinus node dysfunction, systemic and/or pulmonary venous channels obstruction has been the reason for development of different techniques.
Recently, a vertical trans-caval approach (without atrial or cavo-atrial junction incision) has been reported. The early promising results were encouraging. This technique has avoided most of the complications seen with other surgical techniques.
Methods :
Forty patients were included in this study. They were operated upon at the department of cardio-vascular and thoracic surgery, La Timone hospital, Marseille, France. All patients referred for surgical correction of partial anomalous pulmonary venous drainage into the superior vena cava, with our without sinus venosus inter-atrial communication, were addressed using the vertical lateral trans-caval single patch technique. Six more patients were done in the year 2010 in Alexandria University hospital and they will be discussed separately.
Results :
There were no mortality or important morbidities. Follow up ranged from 2 months to 9.3 years (mean 4.4 years). Patients had regular echocardiographic examination, electrocardiogram and 24 hours Holter electrocardiogram on follow-up. There was no incidence of new arrhythmia. All patients showed unobstructed caval and pulmonary venous flow.
Conclusion :
Vertical trans-caval approach is a highly reproducible technique for correction of PAPVD into the SVC; it yields very promising results with very low incidence of complications. It can also be performed through a cosmetic right posterior thoracotomy.