title: Rare venous connection causes severe cyanosis after the Fontan operation.
abstract: We describe a rare case of cyanosis following the Fontan operation secondary to right-to-left shunting through a pulmonary vein connected to both the left atrium and the hepatic veins. This is a hazardous anomaly in a Fontan candidate and should be considered in those with unexpected postoperative desaturation.
authors.affiliation: Cardiothoracic Surgical Unit, Green Lane Hospital, Auckland, New Zealand. fnomura@kure-nh.go.jp
authors.forename: F
authors.initials: F
authors.lastname: Nomura
authors.forename: K
authors.initials: K
authors.lastname: Finucane
authors.forename: A R
authors.initials: AR
authors.lastname: Kerr
mesh_terms: D000792:Angiography; D002648:Child; D002675:Child, Preschool; D003490:Cyanosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D003937:Diagnosis, Differential; D018729:Fontan Procedure; D006325:Heart Atria / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000601:surgery; D006503:Hepatic Veins / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D011667:Pulmonary Veins / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D012086:Reoperation