Combined conventional-to-sutureless repair of the supracardiac total anomalous pulmonary venous drainage.
Multimed Man Cardiothorac SurgSep 18, 2026 (epub)
Yaroslav Ivanov, Yaroslav Mykychak, Kira Kuschnerus et al.
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Case in brief
A neonate with supracardiac total anomalous pulmonary venous drainage presented with mild symptoms. Echocardiography revealed a well-developed pulmonary venous confluence and obstruction at the interatrial level. During surgery, an intraoperative mismatch led to a switch from a conventional to a sutureless repair technique. Postoperative echocardiography showed successful anastomosis, and the patient had an uneventful recovery, remaining well at 6-month follow-up.
Diagnostic / clinical pearl
Intraoperative findings can necessitate a change in surgical approach, as seen in this case where a sutureless technique was required due to anatomical mismatches.