Partial anomalous pulmonary venous connection of the left upper pulmonary vein with atrial septal defect is quite a rare congenital defect. Standard treatment of this combined defect is cardiopulmonary bypass surgery through a median sternotomy. We describe a hybrid procedure for a 12-year-old female patient where the atrial septal defect was closed percutaneously and anomalous pulmonary venous connection of the left upper pulmonary vein was corrected through a minimal off--pump surgical approach during the same anesthesia.