1. Individualized total cavopulmonary connection technique for patients with Asplenia syndrome 
Ryo Aeba, MD, Toshiyuki Katogi, MD, Kenichi Hashizume, MD, Yoshimi Iino, MD, Shiaki Kawada, MD, Yuji Yuasa, MD 
The Annals of Thoracic Surgery 
Volume 73, Issue 4, Pages (April 2002)
DOI: /S (01)

2. Fig 1
Total cavopulmonary connection technique using intraatrial conduit for patient with dextrocardia, single orifice of pulmonary veins, and bilateral superior vena cavae. Anterior hemisphere of heart is omitted for convenience. Note that ventricular inflow is located on the opposite side of the single orifice of the pulmonary vein, from the perspective of the inferior vena cava.
The Annals of Thoracic Surgery  , DOI: ( /S (01) )

3. Fig 2
Operative schema of total cavopulmonary connection using an intra-extraatrial conduit for a patient with dextrocardia, single left superior vena cava, and separate entry of the hepatic vein. A single baffle was placed for partition of the atrium. Venous cannulas were placed in the abnormally entered hepatic vein along with the superior and inferior vena cavae. Arrows indicate locations of suture anastomosis.
The Annals of Thoracic Surgery  , DOI: ( /S (01) )

4. Fig 3
Operative schema of total cavopulmonary connection using an intra-extraatrial lateral tunnel technique for a patient with dextrocardia, bilateral superior vena cavae, and separate entry of the hepatic vein. A U-shaped atrial incision was made to create an atrial wall flap, which was sutured to the posterior wall of the atrium. The left branch pulmonary artery was horizontally incised and the inferior rim of the incision was sutured to the cranial epicardial surface of the atrium. A single baffle for lateral tunnel was positioned on the epicardium of the atrium to drain the inferior systemic vein to the pulmonary artery partially outside of the atrium. Arrows indicate locations of suture anastomosis.
The Annals of Thoracic Surgery  , DOI: ( /S (01) )