Figure 6.

Surgical approaches for correcting PAPVR. For anomalous veins connecting portions of the left lung to the left brachiocephalic vein, the anomalous vein is reconnected directly to the LA. For anomalous veins connecting portions of the right lung to the SVC, the SVC is reconnected to the right atrial appendage and blood from the anomalous vein is shunted, with the help of a pericardial patch, though a newly-created (or enlarged) ASD into the LA. Alternatively, there have been reports of GORE-TEX™ grafts being used to create a conduit crossing the right atrium.