Right-to-left shunt through the cardiac veins after the Fontan procedure.
We found right-to-left shunts through the cardiac veins postoperatively in 2 patients who had undergone the Fontan procedure. In one of the patients, channels were present through the cardiac veins independent of the coronary sinus. In the other patient, an atretic orifice for the coronary sinus, coupled with a persistent left-sided superior caval vein, complicated the postoperative course.
Uemura
H
H
Department of Cardiovascular Surgery, National Cardiovascular Center, Suita, Osaka, Japan. huemura@hsp.ncvc.go.jp
Yagihara
T
T
Monta
O
O
D001784:Blood Gas Analysis; D006328:Cardiac Catheterization; D003326:Coronary Circulation; D003331:Coronary Vessels / Q000503:physiopathology*; D004310:Double Outlet Right Ventricle / Q000601:surgery; D005260:Female; D018729:Fontan Procedure / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D007223:Infant; D008297:Male; D008943:Mitral Valve / Q000002:abnormalities / Q000601:surgery; D010100:Oxygen / Q000097:blood; D014680:Veins / Q000503:physiopathology
D010100:Oxygen