Hostname: page-component-cd9895bd7-fscjk Total loading time: 0 Render date: 2024-12-26T13:26:59.295Z Has data issue: false hasContentIssue false
  • English
  • Français

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: [email protected]
Get access Rights & Permissions [Opens in a new window]

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

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

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