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Anomalous Systemic and Pulmonary Venous Connections to Coronary Sinus

Department of Cardiovascular & Thoracic Surgery India 1 Department of Cardiology Sree Chitra Tirunal Institute for Medical Sciences and Technology Thiruvananthapuram, India

For reprint information contact: Soman Rema Krishna Manohar, MCh Tel: 91 471 44 3152 Fax: 91 471 44 6433 email: sctimst{at}renback.delhi.nic.in Department of Cardiovascular and Thoracic Surgery, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram 695011, India.

A 3-year-old female child presented with total anomalous pulmonary venous connection to the coronary sinus coexisting with a persistent left superior vena cava. During the surgical correction, since there was no innominate vein, the left superior vena cava required diversion to avoid systemic desaturation. This was achieved by end-to-side left superior vena cava-to-left pulmonary artery anastomosis that was technically easier than transposing it to the right atrium.