Modified Warden procedure in adult with partial anomalous pulmonary venous connection after previous atrial septal defect repair

A 20-year-old boy was admitted to our Hospital for recurrent pleural effusion, effort breathless and initial signs of right heart failure. He had primary diagnosis, in childhood, of secundum ASD and had undergone, at the age of 16 years, ASD repair with patch. A MRI showed anomalous connection of two pulmonary veins in highest superior vena cava. We performed a modified Warden procedure with a prosthetic conduit. We report the advantages of this technique in reintervention in adult congenital patient. Learning objective: To give informations about the possible surgical technique in adult congenital patient with anomalous pulmonary veins connection who had previously undergone surgical procedure.