Introduction
Total anomalous pulmonary venous connection (TAPVC) is a rare and serious cardiac anomaly, accounting for approximately 1%-3% of congenital heart diseases [1]. Supracardiac TAPVC is the most common type [2]. The anastomosis of pulmonary vein confluence(PVC) and left atrium is the key step of operation. Anastomotic stenosis or distortion can induce progressive postoperative pulmonary venous obstruction (PVO), which is associated with increased late mortality and morbidity. In order to create a large and undistorted anastomosis, we developed an modified anastomosis technique for repair of supracardiac TAPVC in infants.