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Late desaturation due to giant azygous vein 16 years after bidirectional cavopulmonary anastomosis

Published online by Cambridge University Press:  23 December 2015

Pritish K. Bagul*
Affiliation:
Department of Cardiology, King Edward Memorial Hospital, Mumbai, Maharashtra, India
Arvind S. Singh
Affiliation:
Department of Cardiology, King Edward Memorial Hospital, Mumbai, Maharashtra, India
Prafulla G. Kerkar
Affiliation:
Department of Cardiology, King Edward Memorial Hospital, Mumbai, Maharashtra, India
*
Correspondence to: P. K. Bagul, Department of Cardiology, CVTC Building, E. Borges Road, King Edward Memorial Hospital, Parel, Mumbai, Maharashtra 422012, India. Tel: +91 961 944 5255; Fax: +91 22 24116732; E-mail: pritishbagul@yahoo.co.in

Abstract

We present a rare late manifestation of systemic venous collaterals in a 17-year-old female, 16 years after bidirectional cavopulmonary anastomosis, resulting in clinically unacceptable desaturation with progressive effort intolerance and cyanosis.

Type
Images in Congenital Cardiac Disease
Copyright
© Cambridge University Press 2015 

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References

1. Gross, GJ, Jonas, RA, Castaneda, AR, Hanley, FL, Mayer, JE, Bridges, ND. Maturational and hemodynamic factors predictive of increased cyanosis following bidirectional cavopulmonary anastomosis. Am J Cardiol 1994; 74: 705709.CrossRefGoogle Scholar
2. Magee, AG, McCrindle, BW, Mawson, J, Benson, LN, Williams, WG, Freedom, RM. Systemic venous collateral development after the bidirectional cavopulmonary anastomosis. J Am Coll Cardiol 1998; 32: 502508.Google Scholar

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