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Extracardiac rerouting of left superior vena cava to right atrium.
Seminars in Thoracic and Cardiovascular Surgery 2019 April 19
Rerouting of persistent left superior vena cava (LSVC) is necessary in correction of certain congenital cardiac conditions. Techniques previously described, involve either an "intracardiac" baffle or an "extracardiac" connection between the LSVC and the right atrium or its appendage or the right superior vena cava. We present a modification of the extracardiac technique, utilizing flaps of right and left atrial appendages in construction of the extra-anatomic tube. Using this technique in seven patients we obtained a tension free, oblique anastomosis with vascular tissue circumferentially and potentially preserving growth.
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