Surgical management of the left superior vena cava draining into the left atrium: a novel off-pump technique using the left atrial appendage.

The left superior vena cava is the most common congenital venous anomaly in the chest; however, its drainage into the left atrium is exceptional. The aim of the paper is to describe our novel technique to connect the left superior vena cava to the right cavities using the left atrial appendage, without cardiopulmonary bypass.