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Systemic venous collateral channel causing desaturation after bidirectional cavopulmonary anastomosis: percutaneous closure

Published online by Cambridge University Press:  27 October 2010

Satish Karur ,
Jayaranganath Mahima  and
Manjunath Cholenahally Nanjappa
Satish Karur*
Affiliation:
Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, India
Jayaranganath Mahima
Affiliation:
Department of Paediatric Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, India
Manjunath Cholenahally Nanjappa
Affiliation:
Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, India
*
Correspondence to: Dr S. Karur, MD, DM, Assistant Professor, Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bannerghatta Road, Jayanagar 9th Block, Bangalore – 560069, Karnataka, India. Tel: 91 9731079078; Fax: 91 80 26534477; E-mail: drsatishkdm@yahoo.com
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Abstract

An infant with cyanotic cardiac disease that was palliated with a bidirectional cavopulmonary shunt developed progressive and worsening cyanosis 5 years after the surgical procedure. A large venous collateral was found to be decompressing the bidirectional Glenn shunt from the superior caval vein to the inferior caval vein and was percutaneously closed with a vascular plug. The unusually large venous collateral, and the excellent outcome associated with percutaneous procedure are discussed.

Keywords

Cyanosisvascular plugGlenn shuntdevice

Information

Type
Brief Reports
Information
Cardiology in the Young , Volume 21 , Issue 1 , February 2011 , pp. 107 - 109
Copyright
Copyright © Cambridge University Press 2010

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References

1. Kopf, GS, Laks, H, Stansel, HC, Hellenbrand, WE, Kleinman, CS, Talner, NS. Thirty-year follow-up of superior vena cava-pulmonary artery (Glenn) shunts. J Thorac Cardiovasc Surg 1990; 100: 662–670.CrossRefGoogle ScholarPubMed
2. Lamberti, JJ, Spicer, RL, Waldman, JD, et al. The bidirectional cavopulmonary shunt. J Thorac Cardiovasc Surg 1990; 100: 22–29.CrossRefGoogle ScholarPubMed
3. Bargeron, LM, Karp, RB, Barcia, A, Kirklin, JW, Hunt, D, Deverall, PB. Late deterioration of patients after superior vena cava to right pulmonary artery anastomosis. Am J Cardiol 1972; 30: 211–216.CrossRefGoogle ScholarPubMed
4. Magee, AG, McCrindle, BW, Mawson, J, Benson, LN, Williams, WG, Freedom, RM. Systemic venous collateral development after the bidirectional cavopulmonary anastomosis, prevalence and predictors. J Am Coll Cardiol 1998; 32: 502–508.CrossRefGoogle ScholarPubMed
5. Gross, GJ, Jonas, RA, Castaneda, AR, Hanley, FL, Mayer, JE, Bridges, ND. Maturational and hemodynamic factors predictive of increased cyanosis following bidirectional cavopulmonary anastomosis. Am J Cardiol 1994; 74: 705–709.CrossRefGoogle Scholar
6. McElhinney, DB, Reddy, VM, Hanley, FL, Moore, P. Systemic venous collateral channel causing desaturation after bidirectional cavopulmonary anastomosis: evaluation and management. J Am Coll Cardiol 1997; 30: 817–824.CrossRefGoogle ScholarPubMed
7. Groote, DK, Verhaaren, H, Suys, B, Wolf, DD. Percutaneous closure of a vascular plug of a fistula between superior caval vein and left atrium. Pediatric Cardiol 2005; 26: 675–676.CrossRefGoogle ScholarPubMed