Spiral vein graft: an alternative method for relief of superior vena caval obstruction following the Mustard repair.

This report describes our experience with an 11-year-old girl with superior vena caval syndrome following an intra-atrial baffle for transposition of the great arteries. She underwent a saphenous spiral vein graft with excellent relief of the obstruction. This method is presented as an alternative to the use of cardiopulmonary bypass for baffle revision and direct anastomosis of the innominate vein to the left atrial appendage when the latter is not feasible.