The Ongoing Evolution of Sutureless Repairs for Pulmonary Vein Anomalies.

The sutureless technique has evolved from an effective treatment modality for postrepair pulmonary venous stenosis to a prophylactic strategy for primary repair of total anomalous pulmonary venous connection. Although conclusive data demonstrating efficacy as a universal prophylactic strategy is lacking, Zhang et al provide evidence that supports the sutureless technique as a safe and an effective prophylactic strategy in certain subsets of high-risk patients.