Open the pericardium to the right, so a piece of pericardium may be harvested if needed later to augment the SVC-PA anastomosis. Place stay sutures as usual. Start with the aorta (mosquito) and place a sling. Free the adventitia from the aorto-pulmonary area on the RPA and the LPA. Mobilise the PAs enough to get…

Before CPB Harvest the pericardium as a large patch as usual (ticrons on four corners with enough length to move within the field, save in moist saline gauze sandwich). Dissect as usual – aorta, PAs to hilum, duct, PA, SVC, IVC. Can desaturate when mobilising the PDA/PAs. Double-sloops around the PAs to carry out the…

Pre-op 1u blood available in PICU. Pacing box connected. Paddles available. Roll under shoulder. Side-bars down. Remove dressings before scrubbing. Head-light and loupes. Goretex unopened Procedure Clean with betadine. Fold the drape in half on either side, to prevent it from slipping off. Drape above and below, enough to get suction, etc. Stitch the drapes…