A new palliative surgical technique for high risk Total anomalous pulmonary venous connection (Sarmast-Takriti shunt).

After completion of the procedure, the pressure gradient across the venous confluence and the Left innominate vein became zero. Cyanosis, agitation and feeding Problem subsided. Three days later, when he was discharged, arterial oxygen saturation had reached as high as 91%. After 7 months we perfomed the main correction.