INTRODUCTION: The mixed total anomalous pulmonary connection is a rare type of @entity13675 . The occurrence of multiple connections of the pulmonary veins has important implication in the diagnosis and surgical planning. These types of @entity1700 ( @entity1700 ) and the infracardiac have higher surgical mortality. METHODS: Between December 1994 and July 2013, a total of 58 @entity1 underwent surgical treatment of @entity1700 . Twenty-five (43.1%) @entity1 had supracardiac connection, 15 (25.8%) @entity1 had intracardiac type, 12 (20.6%) @entity1 had a mixed type, and 6 (10.3%) @entity1 had an infracardiac type. In @entity1 with mixed @entity1700 , four (33.3%) @entity1 had type I, five (41.6%) @entity1 had type II, and three (25.0%) @entity1 had type III. The diagnosis of @entity1700 was performed in all @entity1 using Doppler echocardiography, and they underwent cardiopulmonary bypass with aorta-bicaval cannulation and lately we use mild @entity2332 with normal flow. The drainage channels were ligated in all @entity1 . RESULTS: The immediate surgical results were as follows: one (16.6%) death in the infracardiac group, four (16.0%) deaths in the supracardiac group, one (8.3%) death in the mixed group, and no death in the cardiac group (no statistical difference, P = .488). CONCLUSION: In this series of @entity1 , the mixed @entity1700 could be corrected only with preoperative two-dimensional Doppler echocardiography with good immediate results, and we believe that the use of computed angiotomography combined with three-dimensional reconstruction may improve the surgical outcome mainly in the mixed and infracardiac group of @entity1700 .

Mixed XXXX : early results and surgical techniques.

@entity1 :: ('9606', 'Species') :: ['children', 'patients'] @entity1700 :: ('MESH:D012587', 'Disease') :: ['total anomalous pulmonary venous connection', 'TAPVC'] @entity2332 :: ('MESH:D007035', 'Disease') :: ['hypothermia'] @entity13675 :: ('MESH:C536187', 'Disease') :: ['congenital cardiopathy']
@entity1700 :: (MESH:D012587,Disease) :: ['type total anomalous pulmonary venous connection']
