A Gore-Tex 'new-innominate' vein: a surgical option for complicated bilateral cavopulmonary shunts.
A bilateral bidirectional cavopulmonary shunt was performed in a cyanotic 14-month-old girl who had tricuspid and pulmonary valve atresia, with right pulmonary artery (RPA) hypoplasia (3 mm), bilateral superior vena cavae and a ductus arteriosus-dependent pulmonary blood flow. Because of 62% postoperative arterial oxygen saturation and a right superior vena cava (RSVC) pressure of 30 mmHg, a 5 mm Gore-Tex tube was interposed to connect the two superior venae cavae. The creation of a 'new-innominate' vein allowed decompression of the right superior vena cava and an increase in arterial oxygen saturation to 86%.
Vida
Vladimiro L
VL
Pediatric Cardiac Surgery Unit of Guatemala (UNICAR), 9 Avenida, 8-00, Zona 11, Guatemala Ciudad, Guatemala. vladimirovida@interfree.it
Leon-Wyss
Juan
J
Garcia
Flor
F
Castañeda
Aldo R
AR
D000293:Adolescent; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods; D016121:Brachiocephalic Veins / Q000601:surgery; D018376:Cardiovascular Abnormalities / Q000601:surgery*; D005260:Female; D018610:Heart Bypass, Right / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D018633:Pulmonary Atresia / Q000601:surgery; D011664:Pulmonary Valve / Q000002:abnormalities; D016896:Treatment Outcome; D018785:Tricuspid Atresia / Q000601:surgery