Hostname: page-component-848d4c4894-5nwft Total loading time: 0 Render date: 2024-05-15T16:40:51.615Z Has data issue: false hasContentIssue false
  • English
  • Français

Cyanosis following a modified Fontan procedure secondary to anomalous inferior systemic venous return

Published online by Cambridge University Press:  19 August 2008

Ronald W. Day ,
Bilal Harake  and
Hillel Laks
Ronald W. Day*
Affiliation:
Divisions of Pediatric Cardiology and Cardiothoracic Surgery, University of California at Los Angeles School of Medicine, Los Angeles
Bilal Harake
Affiliation:
Divisions of Pediatric Cardiology and Cardiothoracic Surgery, University of California at Los Angeles School of Medicine, Los Angeles
Hillel Laks
Affiliation:
Divisions of Pediatric Cardiology and Cardiothoracic Surgery, University of California at Los Angeles School of Medicine, Los Angeles
*
Dr. Ronald W. Day, Division of Pediatric Cardiology, University of California at Los Angeles School of Medicine, 10833 LeConte Avenue, Los Angeles, CA 90024, USA
Get access Rights & Permissions [Opens in a new window]

Summary

A persistent subcardinal anastomosis was identified as a source of right-to-left shunting in a patient with excessive cyanosis following a modified Fontan procedure. Anomalies of inferior systemic venous return must be defined when a Fontan procedure is performed by direct caval venous anastomosis to the pulmonary arteries, and hepatic venous drainage is left to mix with pulmonary venous return.

Type
Brief Reports
Information
Cardiology in the Young , Volume 1 , Issue 2 , April 1991 , pp. 149 - 151
Copyright
Copyright © Cambridge University Press 1991

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Lock, JE, Cockerham, JT, Keane, JF, Wakely, PE, Fellows, KE. Transcatheter umbrella closure of congenital heart defects. Circulation 1987; 75: 593–599.Google Scholar
2.Anderson, RC, Adams, P, Burke, B. Anomalous inferior vena cava with azygous continuation (infrahepatic interruption of the inferior vena cava). J Pediatr 1961; 59: 370–383.CrossRefGoogle Scholar
3.Huhta, JC, Smallhorn, JF, Macartney, FJ. Two dimensional echocardiographic diagnosis of situs. Br Heart J 1982; 48:97–108.Google Scholar
4.Huhta, JC, Smallhorn, JF, Macartney, FJ, Anderson, RH, de Leval, M. Cross-sectional echocardiographic diagnosis of systemic venous return. Br Heart J 1982; 48: 388–403.CrossRefGoogle ScholarPubMed
5.Guenthard, J, Carvalho, JS, Anderson, RH, Rigby, ML. Hepatic venous connection to a persistent inferior caval vein in left isomerism. Eur Heart J 1990; 11: 845–847.Google Scholar
6.Mayer, JE, Helgason, H, Jonas, RA, Lang, P, Vargas, FJ, Cook, N, Castafleda, AR. Extending the limits for modified Fontan procedures. J Thorac Cardiovasc Surg 1986; 92: 1021–1028.Google Scholar