Extensive pulmonary arterial reconstruction using the vein
This innovative procedure was again used in a patient with tricuspid atresia, along with pulmonary atresia and stenosis of confluent pulmonary arteries. The parallel course of the anomalous vein facilitated pulmonary arterial reconstruction. The ascending aorta was transected under circulatory arrest at 18°C. A side-to-side anastomosis of the vein and pulmonary arteries was formed, along with right bidirectional Glenn (Figure 6).75