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A rare association of major aorto-pulmonary collaterals with right isomerism and totally anomalous pulmonary venous drainage

Published online by Cambridge University Press:  18 November 2005

Sanjay Kumar ,
Junaid Ansari  and
Nihal Weerasena
Sanjay Kumar
Affiliation:
Department of Cardiothoracic Surgery, Yorkshire Heart Centre, Leeds General Infirmary, Leeds, United Kingdom
Junaid Ansari
Affiliation:
Department of Cardiothoracic Surgery, Yorkshire Heart Centre, Leeds General Infirmary, Leeds, United Kingdom
Nihal Weerasena
Affiliation:
Department of Cardiothoracic Surgery, Yorkshire Heart Centre, Leeds General Infirmary, Leeds, United Kingdom
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Abstract

A female neonate, born at term, presented with complex cardiac anatomy dominated by right isomerism and infra-diaphragmatic totally anomalous pulmonary venous connection. Surgical repair was performed using circulatory arrest under deep hypothermia. In the postoperative period, the patient could not be weaned off mechanical ventilation, and underwent cardiac catheterization. This revealed major aortopulmonary collateral arteries, which were occluded with coils. We review the literature with specific focus on the occurrence of this unusual combination and its implication in the management during the postoperative period.

Keywords

Complex congenital heart diseasesystemic-pulmonary collateralsinfracardiac total anomalous pulmonary venous drainageheterotaxy syndrome
Type
Brief Report
Information
Cardiology in the Young , Volume 15 , Issue 6 , December 2005 , pp. 643 - 646
Copyright
© 2005 Cambridge University Press

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