Development of pulmonary arteriovenous shunt after superior vena cava-right pulmonary artery (Glenn) anastomosis. Report of four cases.

Author:

McFaul R C,Tajik A J,Mair D D,Danielson G K,Seward J B

Abstract

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.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Physiology (medical),Cardiology and Cardiovascular Medicine

Reference15 articles.

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2. Circulatory bypass of the right heart. I. Preliminary observations on the direct delivery of vena caval blood into the pulmonary arterial circulation: Azygos vein-pulmonary artery shunt;Glenn WWL;Yale J Biol Med,1954

3. Circulatory bypass of the right side of the heart: Cava-pulmonary artery shunt - indications and results (report of a collected series of 537 cases). In The Heart and Circulation in the Newborn and Infant, edited by Cassels DE. New York;Glenn WWL;Grune & Stratton,1966

4. Long-Term Follow-up after Superior Vena Cava—Right Pulmonary Artery Anastomosis

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