3 patients lost of follow up, 12 other patients follow-up at others cardiac centers and the rest follow-up examination at the Heart Institute HCMC with mean time of follow-up was 64 months (range 1 to 188 months). Conclusion: TAPVC with pulmonary venous obstructed always associated with very high of pulmonary hypertension that threaten children's life. Emergency or sub-emergency operation for these cases could be decrease operative death.