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- Title
When the bi-directional Glenn is an unfavourable option: primary extracardiac inferior cavopulmonary connection as an alternative palliation.
- Authors
Dodge-Khatami, Ali; Aggarwal, Avichal; Taylor, Mary B.; Maposa, Douglas; Salazar, Jorge D.
- Abstract
The superior cavopulmonary anastomosis – bi-directional Glenn – is the standard palliation for single ventricle physiology. When upper body systemic venous anatomic concerns such as superior caval vein stenosis, hypoplasia, or inadequate collateral tributaries are present, a Glenn may be precluded or have a high risk of poor outcome. A primary inferior cavopulmonary connection with an extracardiac conduit is an alternative palliation that provides a generous pathway for pulmonary blood flow, with the additional benefit of including hepatic venous return. We report a case of primary extracardiac inferior cavopulmonary connection in a patient unsuitable for Glenn, with successful post-operative outcome and early follow-up.
- Subjects
SURGICAL anastomosis; PALLIATIVE treatment; HEART ventricles; HEPATIC veno-occlusive disease; BLOOD flow; PHYSIOLOGY
- Publication
Cardiology in the Young, 2016, Vol 26, Issue 7, p1247
- ISSN
1047-9511
- Publication type
journal article
- DOI
10.1017/S104795111500058X