title: Obliteration of a competitive forward flow from the ventricle after a bidirectional cavopulmonary shunt with an Amplatzer duct occluder.
abstract: A 7-month-old boy who was status post-bidirectional Glenn shunt implantation with residual ventricular flow to the pulmonary arteries (PA) presented with massive edema of the head and systemic desaturation soon after surgery. After test occlusion, an Amplatzer duct occluder was implanted at the PA banding site with subsequent decrease in the PA pressure, resolution of the edema and extubation.
authors.affiliation: Hospital do Coração da Associação Sanatório Sírio, São Paulo, Brazil.
authors.forename: Carlo B
authors.initials: CB
authors.lastname: Pilla
authors.forename: Valmir F
authors.initials: VF
authors.lastname: Fontes
authors.forename: Carlos A C
authors.initials: CA
authors.lastname: Pedra
mesh_terms: D006348:Cardiac Surgical Procedures / Q000295:instrumentation*; D018610:Heart Bypass, Right / Q000295:instrumentation*; D006345:Heart Septal Defects, Ventricular / Q000601:surgery; D006352:Heart Ventricles / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D011651:Pulmonary Artery / Q000601:surgery; D014188:Transposition of Great Vessels / Q000601:surgery