Increasing cyanosis after total cavopulmonary connection treated by banding a separate liver vein.
An increasing right-to-left shunt after a total cavopulmonary connection was treated by banding the separate liver vein. As a variation on a fenestrated total cavopulmonary connection, this liver vein was not connected with the intercaval tunnel. After a few days, the shunt increased to an unacceptable level. This was treated by banding the liver vein, which was connected with the right-sided atrium and turned out to be only part of the venous drainage of the liver.
Waterbolk
T W
TW
Department of Pediatrics, University Hospital Groningen, The Netherlands.
Talsma
M D
MD
Loef
B G
BG
Slooff
M J
MJ
Ebels
T
T
D002675:Child, Preschool; D003490:Cyanosis / Q000209:etiology* / Q000601:surgery; D018610:Heart Bypass, Right / Q000009:adverse effects*; D006330:Heart Defects, Congenital / Q000601:surgery*; D006503:Hepatic Veins / Q000601:surgery*; D006801:Humans; D008026:Ligation; D008297:Male