{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T06:23:44Z","timestamp":1787207024603,"version":"build-2736575974"},"reference-count":17,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T00:00:00Z","timestamp":1787184000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Pediatr."],"abstract":"<jats:p>Common pulmonary vein atresia (CPVA) is an extremely rare and lethal congenital heart defect characterized by the absence of a functional connection between the common pulmonary vein chamber (CPVC) and both the left atrium and systemic venous system. We report a case of a full-term female infant who successfully underwent primary sutureless repair. The patient developed acute respiratory distress syndrome (ARDS) with severe cyanosis and refractory hypoxemia 12\u2005min after birth and underwent emergent surgery at 15\u2005h of life. Intraoperative findings confirmed CPVA with bilateral superior pulmonary vein stenosis. Sutureless anastomosis was performed, leaving a 2.5\u2005mm interatrial communication. Due to severe pulmonary hypertension and high-dose vasoactive requirements, venoarterial extracorporeal membrane oxygenation (VA-ECMO) support was established immediately. ECMO was weaned on postoperative day 6, the patient was extubated on day 10, and discharged on day 43. Two-month follow-up showed unobstructed pulmonary venous flow without evidence of anastomotic stenosis. To our knowledge, this is the first report of successful primary sutureless repair of this cardiac malformation.<\/jats:p>","DOI":"10.3389\/fped.2026.1895693","type":"journal-article","created":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T05:28:00Z","timestamp":1787203680000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Case Report: Successful primary sutureless repair of common pulmonary vein atresia in a neonate"],"prefix":"10.3389","volume":"14","author":[{"given":"Zhaoyang","family":"Zheng","sequence":"first","affiliation":[{"name":"Department of Pediatric Cardiovascular Surgery, West China Second University Hospital, Sichuan University","place":["Chengdu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jinmei","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiovascular Surgery, West China Second University Hospital, Sichuan University","place":["Chengdu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,8,20]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"729","DOI":"10.1542\/peds.29.5.729","article-title":"Atresia of the common pulmonary vein","volume":"29","author":"Lucas","year":"1962","journal-title":"Pediatrics"},{"key":"B2","doi-asserted-by":"publisher","first-page":"629","DOI":"10.1017\/S1047951115002334","article-title":"Common pulmonary vein atresia: report of three cases and review of the literature","volume":"26","author":"Perez","year":"2016","journal-title":"Cardiol Young"},{"key":"B3","doi-asserted-by":"publisher","first-page":"e337","DOI":"10.1016\/j.athoracsur.2021.02.023","article-title":"Cor triatriatum can coexist with common pulmonary venous atresia","volume":"112","author":"Yokoyama","year":"2021","journal-title":"Ann Thorac Surg"},{"key":"B4","doi-asserted-by":"publisher","first-page":"2382","DOI":"10.1016\/j.athoracsur.2015.08.085","article-title":"An extremely rare variant of pulmonary venous atresia","volume":"101","author":"Nakamura","year":"2016","journal-title":"Ann Thorac Surg"},{"key":"B5","doi-asserted-by":"publisher","first-page":"85","DOI":"10.1016\/j.case.2017.11.001","article-title":"Total anomalous pulmonary venous return with No connection","volume":"2","author":"DeMatteo","year":"2018","journal-title":"CASE (Phila)"},{"key":"B6","doi-asserted-by":"publisher","first-page":"1153","DOI":"10.1111\/echo.14363","article-title":"Comparison of prenatal ultrasound and postmortem findings in fetuses with common pulmonary vein atresia","volume":"36","author":"Guo","year":"2019","journal-title":"Echocardiography"},{"key":"B7","doi-asserted-by":"publisher","first-page":"1590620","DOI":"10.3389\/fped.2025.1590620","article-title":"Common pulmonary vein atresia: a case report and treatment experience sharing of a newborn diagnosed with common pulmonary vein atresia after two operations","volume":"13","author":"Zhang","year":"2025","journal-title":"Front Pediatr"},{"key":"B8","doi-asserted-by":"publisher","first-page":"881","DOI":"10.1007\/s00246-018-1948-y","article-title":"Is sutureless technique beneficial in the primary repair of total anomalous pulmonary venous connection? 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