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Unilateral unidirectional superior cavopulmonary anastomosis in a patient with bilateral superior caval veins and atretic left pulmonary artery

Published online by Cambridge University Press:  26 December 2018

Sachin Talwar*
Affiliation:
Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi, India
Mayank Yadav
Affiliation:
Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi, India
Shiv Kumar Choudhary
Affiliation:
Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi, India
*
Author for correspondence: S. Talwar, MCh, Professor, Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi-110029, India. Tel: 91-11-26594835; Fax: 91-11-26588663; E-mail: sachintalwar@hotmail.com

Abstract

A unidirectional superior cavopulmonary anastomosis was performed on the right side in a patient with a functionally univentricular heart, atresia of main and left pulmonary artery, bilateral superior caval veins, and a patent arterial duct in the right pulmonary artery. Anastomosis of the left superior caval vein to the right superior caval vein created a neo-innominate vein without using prosthetic material.

Type
Brief Report
Copyright
© Cambridge University Press 2018 

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Footnotes

Cite this article: Talwar S, Yadav M, Choudhary SK. (2019) Unilateral unidirectional superior cavopulmonary anastomosis in a patient with bilateral superior caval veins and atretic left pulmonary artery. Cardiology in the Young29: 416–418. doi: 10.1017/S1047951118002111

References

1. Pridjian, AK, Mendelsohn, AM, Lupinetti, FM, et al. Usefulness of the bidirectional Glenn procedure as staged reconstruction for the functional single ventricle. Am J Cardiol 1993; 71: 959962.10.1016/0002-9149(93)90914-XGoogle Scholar
2. Mayer, JE Jr, Helgason, H, Jonas, RA, et al. Extending the limits for modified Fontan procedures. J Thorac Cardiovasc Surg 1986; 92: 10211028.Google Scholar
3. Iyer, GKT, Van Arsdell, GS, Dicke, FP, McCrindle, BW, Coles, JG, Williams, WG. Are bilateral superior vena cavae a risk factor for single ventricle palliation? Ann Thorac Surg 2000; 70: 711716.Google Scholar
4. Forbes, TJ, Rosenthal, GL, Reul, GR Jr, Ott, DA, Feltes, TF. Risk factors for life threatening cavopulmonary thrombosis in patients undergoing bidirectional superior cavopulmonary shunt: an exploratory study. Am Heart J 1997; 134 (5 Pt 1): 865871.Google Scholar
5. Vida, VL, Leon-Wyss, J, Garcia, F, Castaneda, AR. A Gore-Tex ‘new-innominate’ vein: a surgical option for complicated bilateral cavopulmonary shunts. Euro J Cardiothorac Surg 2006; 29: 112113.10.1016/j.ejcts.2005.10.019Google Scholar
6. Shintani, Y, Ohta, M, Minami, M, et al. Long-term graft patency after replacement of the brachiocephalic veins combined with resection of mediastinal tumors. J Thorac Cardiovasc Surg 2005; 129: 809812.Google Scholar
7. Moreno-Cabral, RJ, McNamara, JJ, Reddy, VJ, Caldwell, P. Unilateral absent pulmonary artery: surgical repair with a new technique. J Thorac Cardiovasc Surg 1991; 102: 463465.Google Scholar
8. Kosaka, Y, Kurosavwa, H, Hoshino, S, Shin’oka, T, Isomatsu, Y, Tsuji, Y. Surgery for unilateral absence of pulmonary artery using autologous tissue. Ann Thorac Surg 2003; 76: 12811283.Google Scholar
9. Talwar, S, Gupta, A, Choudhary, SK, Airan, B. Absent left pulmonary artery and double aortic arch in tetralogy of Fallot: reconstruction using homograft saphenous vein of iliac artery. Interact Cardiovasc Thorac Surg 2009; 8: 277279.Google Scholar