The Operative Problem of Small Left Atrium in Total Anomalous Pulmonary Venous Connection: Report of 5 Patients

Daniel A. Goor, Alon Yellin, Mira Frand, Aram Smolinsky, Henry N. Neufeld

Research output: Contribution to journalArticlepeer-review

Abstract

A moderately small left atrium is a common finding in total anomalous pulmonary venous connection (TAPVC). In most patients in whom the common pulmonary vein is anastomosed to the left atrium, the small size of this chamber does not interfere with good operative results. Recently a patient was encountered in whom the left atrium measured less than 2 cm in its greatest dimension. This atrium was too small to take an anastomosis with the common pulmonary vein. Therefore the common pulmonary vein was anastomosed primarily to the right atrium, the floor of the fossa ovalis was excised, and a pericardial conduit was constructed. Subsequently, 4 additional patients have been similarly treated. The problem of small left atrium in TAPVC is discussed.

Original languageEnglish
Pages (from-to)245-248
Number of pages4
JournalAnnals of Thoracic Surgery
Volume22
Issue number3
DOIs
StatePublished - 1976
Externally publishedYes

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