Nonoperative management of late failure of a Glenn anastomosis. Transvenous wafer occlusion of patent superior vena cava--right atrial junction.
A case is presented illustrating delayed failure of a right Glenn anastomosis due to patency of the superior vena cava-right atrial (SVC-RA) junction. Clinical deterioration was rectified by a unique nonoperative approach. A transvenous catheter was designed, constructed, and used to accurately place an umbrella-like occlusive wafer at the SVC-RA junction. In this manner the integrity of the cavopulmonary shunt was re-established. A gratifying and uncomplicated palliation has thus far been achieved.
D006328:Cardiac Catheterization / Q000295:instrumentation / Q000379:methods*; D002648:Child; D006325:Heart Atria; D006801:Humans; D008297:Male; D011651:Pulmonary Artery / Q000601:surgery*; D014261:Tricuspid Valve / Q000002:abnormalities*; D014264:Tricuspid Valve Stenosis / Q000151:congenital*; D014683:Vena Cava, Superior / Q000601:surgery*