Rare venous connection causing severe hypoxia after Fontan

Interact Cardiovasc Thorac Surg · Aug 2008

Case Reports

Rare venous connection causing severe hypoxia after Fontan operation.

We describe a rare case of cyanosis following the Fontan operation with right-to-left shunting at the venous level, that is, an azygos venous to pulmonary venous connection. Few cases with partial anomalous pulmonary venous connection to azygos vein have been reported; however, there have been no reports describing the connection from azygos vein to pulmonary vein, which results in desaturation after Fontan operation. Multidetector-row computed tomography (MDCT) was a useful tool to depict this vascular malformation.

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- Yasunobu Hayabuchi, Miki Inoue, and Shoji Kagami.
- Department of Pediatrics, University of Tokushima, Kuramoto-cho-3, Tokushima 770-8503, Japan. hayabuchi@clin.med.tokushima-u.ac.jp
- Interact Cardiovasc Thorac Surg. 2008 Aug 1; 7 (4): 718-9.
AbstractWe describe a rare case of cyanosis following the Fontan operation with right-to-left shunting at the venous level, that is, an azygos venous to pulmonary venous connection. Few cases with partial anomalous pulmonary venous connection to azygos vein have been reported; however, there have been no reports describing the connection from azygos vein to pulmonary vein, which results in desaturation after Fontan operation. Multidetector-row computed tomography (MDCT) was a useful tool to depict this vascular malformation.

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Rare venous connection causing severe hypoxia after Fontan operation.

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