Systemic venous collateral channel causing desaturation after bidirectional cavopulmonary anastomosis: percutaneous closure.
An infant with cyanotic cardiac disease that was palliated with a bidirectional cavopulmonary shunt developed progressive and worsening cyanosis 5 years after the surgical procedure. A large venous collateral was found to be decompressing the bidirectional Glenn shunt from the superior caval vein to the inferior caval vein and was percutaneously closed with a vascular plug. The unusually large venous collateral, and the excellent outcome associated with percutaneous procedure are discussed.
Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, India. drsatishkdm@yahoo.com
Satish
S
Karur
Jayaranganath
J
Mahima
Manjunath Cholenahally
MC
Nanjappa
D002648:Child; D003097:Collateral Circulation; D003490:Cyanosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D004867:Equipment Design; D005500:Follow-Up Studies; D018729:Fontan Procedure / Q000009:adverse effects*; D006330:Heart Defects, Congenital / Q000601:surgery*; D006801:Humans; D008297:Male; D010690:Phlebography; D014656:Vascular Surgical Procedures / Q000295:instrumentation*; D014682:Vena Cava, Inferior / Q000601:surgery*; D014683:Vena Cava, Superior / Q000601:surgery*