Development of pulmonary arteriovenous shunt after superior vena cava-right pulmonary artery (Glenn) anastomosis. Report of four cases.
نویسندگان
چکیده
Four patients with cyanotic congenital heart disease who had previously undergone superior vena cava-right pulmonary artery (Glenn) anastomosis developed pulmonary arteriovenous malformations that resulted in significant intrapulmonary right-to-left shunting. This abnormality was documented by selective angiography, oximetry, and contrast echocardiogrphy. It may be a major cause of late clinical deterioration in patients treated with the Glenn anastomosis.
منابع مشابه
Report of Four Cases
was proposed by Carlon et al.1 in 1951. In 1954, Glenn and Patifio2 described a modification of this anastomosis by suturing the superior vena cava (SVC) directly to the right pulmonary artery (RPA). Theoretical hemodynamic advantages of this method of palliation, compared with operations anastomosing a systemic artery to pulmonary artery (Blalock-Taussig, Potts shunt), were increased pulmonary...
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From April 2002 to March 2005, 18 patients having undergone bidirectional Glenn shunt (BDG) without cardiopulmonary bypass (CPB) [off-pump BDG] were retrospectively reviewed. During BDG anastomosis, a temporary bypass was established between superior vena cava (15) or innominate vein (3) and main pulmonary artery (16) or right atrium (2). Hemodynamics and oxygenation were maintained well throug...
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A 2-year-10-month-old boy was diagnosed with a complex congenital heart disease: right atrial isomerism, left superior vena cava (LSVC), complete atrioventricular septal defect, secundum type atrial septal defect, transposition of the great arteries with pulmonary atresia, patent ductus arteriosus, absence of a right superior vena cava (RSVC), and dextrocardia. He had received a left Blalock-Ta...
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Afemale child with visceral heterotaxy (presumed left isomerism), interrupted inferior vena cava with azygos continuation to the superior vena cava, and double-outlet right ventricle underwent a total cavopulmonary anastomosis (end-to-side anastomosis of the superior vena cava to the right pulmonary artery) in infancy. Completion of Fontan circulation was undertaken at 3 years of age with const...
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ورودعنوان ژورنال:
- Circulation
دوره 55 1 شماره
صفحات -
تاریخ انتشار 1977