A New Palliative Surgical Technique for High Risk Total Anomalous Pulmonary Venous

Abstract

Objectives Total Anomalous Pulmonary Venous Connection TAPVC is a rare heterogeneous condition That accounting for 1 5-3 of congenital heart diseases It is characterized by failure of the Pulmonary Venous Confluence PVC to be directly connected to the left atrium in combination with a persistent splanchnic connection to the systemic venous circulation The most critical status occurs when it is accompanied by pulmonary venous obstruction Managing of this situation is very difficult and in fact pulmonary venous obstruction is usually lethal The real aim of this study is offering a new palliative surgical technique Sarmast Takriti Shunt in order to alleviate the patient s signs and symptoms until becomes read for the main surgical correction Methods The study included a 4 day old low birth weight boy who suffered from Critical Obstructive Total Anomalous Pulmonary Venous Connection The decision was made to perform the new palliative technique using Gore-Tex ePTFE Anastomosis was established without Cardiopulmonary Bypass CPB between Pulmonary Venous Confluence PVC and the left atrial appendage Therefore the Sarmast Takriti Shunt STS was taken place