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Leaving antegrade pulmonary blood flow results in reversal of flow in the azygous vein and decompression of the cavopulmonary circulation: mechanism of cyanosis defined with cardiac magnetic resonance imaging

Published online by Cambridge University Press:  18 December 2013

Shafkat Anwar ,
Kevin K. Whitehead  and
Matthew A. Harris
Shafkat Anwar*
Affiliation:
Department of Pediatrics, Division of Cardiology, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania, United States of America
Kevin K. Whitehead
Affiliation:
Department of Pediatrics, Division of Cardiology, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania, United States of America
Matthew A. Harris
Affiliation:
Department of Pediatrics, Division of Cardiology, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania, United States of America
*
Correspondence to: S. Anwar, Department of Pediatrics, Division of Cardiology, The Children’s Hospital of Philadelphia, 34th Street and Civic Center Blvd. Room 8NW37, Philadelphia, Pennsylvania, United States of America. Tel: 202-486-6575; Fax: 314-454-2561; E-mail: Shafkat.md@gmail.com
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Abstract

We report the case of a 2.5-year-old patient with single-ventricle physiology who underwent cardiac magnetic resonance study for cyanosis after Kawashima operation. Magnetic resonance imaging study showed a veno-venous collateral redirecting systemic venous flow, responsible for cyanosis.

Keywords

single ventriclecardiac MRIcyanosisKawashima
Type
Images in Congenital Cardiac Disease
Information
Cardiology in the Young , Volume 24 , Issue 3 , June 2014 , pp. 515 - 516
Copyright
Copyright © Cambridge University Press 2013 

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References

1. Gérelli, SS, Boulitrop, CC, Van Steenberghe, MM, et al. Bidirectional cavopulmonary shunt with additional pulmonary blood flow: a failed or successful strategy? Eur J Cardiothorac Surg 2012; 42: 513–519.Google Scholar

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