title: Bidirectional Glenn with interruption of antegrade pulmonary blood flow: Which is the preferred option: Ligation or division of the pulmonary artery?
abstract: We report a rare complication of massive aneurysm of the proximal ligated end of the main pulmonary artery which occurred in the setting of a patient with a functionally univentricular heart and increased pulmonary blood flow undergoing superior cavopulmonary connection. Awareness of this possibility may guide others to electively transect the pulmonary artery in such a clinical setting.
authors.affiliation: Department of Cardiothoracic Surgery, Cardiothoracic Sciences Centre, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Ujjwal Kumar
authors.initials: UK
authors.lastname: Chowdhury
authors.affiliation: Department of Cardiac Anaesthesiology, Cardiothoracic Sciences Centre, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Poonam Malhotra
authors.initials: PM
authors.lastname: Kapoor
authors.affiliation: Department of Cardiothoracic Surgery, Cardiothoracic Sciences Centre, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Keerthi
authors.initials: K
authors.lastname: Rao
authors.affiliation: Department of Cardiac Anaesthesiology, Cardiothoracic Sciences Centre, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Parag
authors.initials: P
authors.lastname: Gharde
authors.affiliation: Department of Cardiothoracic Surgery, Cardiothoracic Sciences Centre, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Mukesh
authors.initials: M
authors.lastname: Kumawat
authors.affiliation: Department of Cardiac Radiology, Cardiothoracic Sciences Centre, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Priya
authors.initials: P
authors.lastname: Jagia
mesh_terms: D000790:Angiocardiography; D002675:Child, Preschool; D003323:Coronary Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D004452:Echocardiography; D017809:Fatal Outcome; D018729:Fontan Procedure / Q000009:adverse effects* / Q000379:methods*; D006352:Heart Ventricles / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008026:Ligation; D008297:Male; D011651:Pulmonary Artery; D011652:Pulmonary Circulation; D016896:Treatment Outcome