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Rerouting of Surgical Anomalous IVC Drainage Status Post Total Anomalous Pulmonary Venous Connection Repair

Tuesday, August 16, 2016

A four-year-old male child presented with recurrent respiratory tract infection, status post total anomalous pulmonary venous connection repair at 2 years of age. During the previous surgery, the inferior vena cava (IVC) was routed to the left atrium (LA) and directed towards the right atrium (RA). This video shows the rerouting of the IVC into the RA, and the closure of the residual atrial septal defect (ASD).

Comments

Congratulation for the successful surgey; amazing how the child remained so long with this surgical error. The repair showed here is quite easy and straight forward; not much more difficult than a redo ASD. The video sequences do not seem to be edited; there are too many useless sequences where either the camera moves and shakes, or the field is obscured by hands and instruments. I think the whole clip can be reduced to 2-3 minutes. Congratulations again on this success.

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