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Inflammatory lung disease in a patient with tricuspid atresia palliated by a Glenn anastomosis

Published online by Cambridge University Press:  19 August 2008

Sara Thorne  and
Jane Somerville
Sara Thorne*
Affiliation:
From the Grown-Up Congenital Heart Disease Unit, Royal Brompton Hospital, London
Jane Somerville
Affiliation:
From the Grown-Up Congenital Heart Disease Unit, Royal Brompton Hospital, London
*
Dr. Sara Thorne, Cardiology Department, The Hospital for Sick Children, Great Ormond Street, London WC1N 3JH, United Kingdom. Tel. 71 405 9200; Fax. 71 831 4850.
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Summary

A 37-year-old man with tricuspid atresia, in whom a chronic right apical aspergilloma had stimulated formation of extensive aortopulmonary collateral circulation, suffered reversal of flow within his long-standing fistulous Glenn anastomosis. By reversing the flow through the pulmonary arteriovenous fistula and raising oxygen saturation in the right atrium, the acquired aortopulmonary collateral circulation prevented the increase in cyanosis which usually occurs when fistulous changes develop late after the Glenn operation.

Keywords

Tricuspid atresiaGlenn anastomosispulmonary arteriovenous fistulaaspergilloma
Type
Brief Reports
Information
Cardiology in the Young , Volume 6 , Issue 1 , January 1996 , pp. 94 - 96
Copyright
Copyright © Cambridge University Press 1996

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References

1. McFaul, RC, Tajik, AJ, Mair, DD, Danielson, GK, Seward, JB. Development of pulmonary arteriovenous shunt after superior vena cava-right pulmonary artery (Glenn) anastomosis. Circulation 1977; 55: 212–216.CrossRefGoogle ScholarPubMed
2. Clourier, A, Ash, JM, Smallhorn, JF, Williams, WG, Trusler, GA, Rowe, RD, Rabinovitch, M. Abnormal distribution of pulmonary blood flow after the Glenn shunt or Fontan procedure: risk of development of arteriovenous fistula. Circulation 1985; 72: 471–479.CrossRefGoogle Scholar
3. Somerville, J. Clinical identification of the pulmonary blood supply in pulmonary atresia. In: Anderson, RH, Neches, WH, Park, SC, Zuberbuhler, JR (eds). Perspectives in Pediatric Cardiology. Futura Publishing Co., Mount Kisco, New York, 1988, pp 155–168.Google Scholar
4. Triedman, JK, Bridges, ND, Mayer, JE Jr, Lock, JE. Prevalence and risk factors for aortopulmonary collateral vessels after Fontan and bidirectional Glenn procedures. J Am Coll Car-diol 1993; 22: 207–215.CrossRefGoogle ScholarPubMed