BACKGROUND: The main goal in the surgical repair of total @entity1700 is to reestablish a wide patent connection between the common pulmonary vein and the left atrium. Several techniques have been proposed for achieving this objective, each of which has advantages and disadvantages. The superior approach between the superior vena cava and the ascending aorta was introduced in 1976 for the repair of supracardiac forms of total @entity1700 , but it often provides a less than optimum exposure, particularly in tiny @entity1 . We proposed a modification of this approach that includes division of the ascending aorta and offers excellent exposure. METHODS: Seventeen @entity1 (15 neonates and 2 @entity1 ) with @entity1700 (n = 13) or mixed forms of total @entity1700 (n = 4) underwent surgical repair with the use of the modified superior approach. @entity1167 was not required in 10 @entity1 and the mean cross-clamp time was 32.5 +/- 13.8 minutes. RESULTS: There was 1 postoperative death resulting from intractable @entity120 in a compromised @entity1 who was referred to our unit receiving extracorporeal membrane oxygenation. One @entity1 with common @entity509 underwent reoperation twice at 2 months and then 3 months after the first procedure. All the other @entity1 had a smooth postoperative course, and midterm evaluation showed a widely patent anastomosis between the common vein and the left atrium. CONCLUSIONS: The modified superior approach for the repair of @entity1700 can be useful to enhance exposure during surgical repair and may contribute to improved @entity1 outcome.

Modified superior approach for repair of supracardiac and mixed total XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'infants', 'infant'] @entity1700 :: ('MESH:D012587', 'Disease') :: ['anomalous pulmonary venous drainage', 'supracardiac total anomalous pulmonary venous drainage'] @entity120 :: ('MESH:D006976', 'Disease') :: ['pulmonary hypertension'] @entity509 :: ('MESH:C538429', 'Disease') :: ['hypoplasia'] @entity1167 :: ('MESH:D006323', 'Disease') :: ['Circulatory arrest']
@entity1700 :: (MESH:D012587,Disease) :: ['anomalous pulmonary venous drainage']
