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Primary sutureless repair of total anomalous pulmonary venous connection: The value of intrapleural hilar reapproximation Igor E. Konstantinov, MD, PhD The Journal of Thoracic and Cardiovascular Surgery Volume 132, Issue 3, Pages (September 2006) DOI: /j.jtcvs Copyright © 2006 The American Association for Thoracic Surgery Terms and Conditions
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Figure 1 Transpericardial incision in pulmonary veins (A) may result in violation of thin pleuropericardial junction (B). Pleuropericardial flap is then retracted toward midline, exposing anterior aspect of pulmonary hilum (B). Parietal and visceral pleura can then be approximated to achieve hemostasis. RPA, Right pulmonary artery; SVC, superior vena cava; Ao, aorta; LPA, left pulmonary artery, LV, left ventricle; IVC, inferior vena cava; PVs, pulmonary veins. The Journal of Thoracic and Cardiovascular Surgery , DOI: ( /j.jtcvs ) Copyright © 2006 The American Association for Thoracic Surgery Terms and Conditions
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