In this exclusive with Medical Dialogues, Dr. Nandita Mohan discusses an original article analyzing the risk factors associated with early mortality in total anomalous pulmonary venous connection (TAPVC) repairs. Published in the Journal of Cardiac Critical Care, the article presents a 10-year retrospective observational study conducted by a single surgeon, evaluating 88 TAPVC cases. The findings identify critical risk factors for early mortality such as age less than one month, low weight at surgery, pre-operative pulmonary vein obstruction, mechanical ventilation, emergency repairs, and postoperative pulmonary arterial hypertension (PAH). The study emphasizes the need for early detection and comprehensive perioperative management in congenital cardiac care. This journal is published by Scientific Scholar.