Neonatal Repair of Truncus Arteriosus With “Scimitar-Like” Mixed Total Pulmonary Venous Return Giovanni Battista Luciani, MD, Stiljan Hoxha, MD, Gianluca.

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Neonatal Repair of Truncus Arteriosus With “Scimitar-Like” Mixed Total Pulmonary Venous Return Giovanni Battista Luciani, MD, Stiljan Hoxha, MD, Gianluca Lucchese, MD, PhD, Micol Rebonato, MD, Lucia Rossetti, MD, Giuseppe Faggian, MD, Alessandro Mazzucco, MD The Annals of Thoracic Surgery Volume 97, Issue 6, Pages e167-e169 (June 2014) DOI: 10.1016/j.athoracsur.2014.02.077 Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Left pulmonary angiogram, anteroposterior view, levophase: the superior left pulmonary veins (SLPV) drain through the left superior vena cava in the coronary sinus (CoS), the inferior left pulmonary vein (ILPV) drains infradiaphragmatic in the inferior vena cava (IVC) to the left of the suprahepatic veins (SHV). Drainage of the right pulmonary veins through a scimitar collector into IVC is indirectly opacified. (B) Operative view: inferior atriocaval junction through the right atrium (RA) shows a coronary probe inserted through the IVC into the infradiaphragmatic ILPV. (RV = right ventricle.) The Annals of Thoracic Surgery 2014 97, e167-e169DOI: (10.1016/j.athoracsur.2014.02.077) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Operative view: (A) A coronary probe has been inserted into the coronary sinus (CoS) to lift its roof. The spatial relationship with the mitral valve (MV) and the tricuspid valve (TV) annulus is shown. (B) Same view after partial CoS unroofing (pump sucker inside). The Annals of Thoracic Surgery 2014 97, e167-e169DOI: (10.1016/j.athoracsur.2014.02.077) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Operative view, intracardiac baffle repair: (A) The coronary sinus (CoS) mouth is closed with a patch. The ostium of right pulmonary veins (RPV; scimitar) to the right of the inferior vena cava (IVC) is visible. (B) Pericardial baffle to communicate the right scimitar with the partially unroofed CoS, dorsally. (C) Ventral view shows the baffle communicating the IVC with right atrium (RA) and tricuspid valve (TV) plane. The Annals of Thoracic Surgery 2014 97, e167-e169DOI: (10.1016/j.athoracsur.2014.02.077) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions