201. A Gore-Tex 'new-innominate' vein: a surgical option for complicated bilateral cavopulmonary shunts.
- Author
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Vida VL, Leon-Wyss J, Garcia F, and Castañeda AR
- Subjects
- Adolescent, Blood Vessel Prosthesis Implantation methods, Brachiocephalic Veins surgery, Female, Heart Bypass, Right instrumentation, Humans, Pulmonary Atresia surgery, Pulmonary Valve abnormalities, Treatment Outcome, Tricuspid Atresia surgery, Blood Vessel Prosthesis, Cardiovascular Abnormalities surgery, Heart Bypass, Right methods
- Abstract
A bilateral bidirectional cavopulmonary shunt was performed in a cyanotic 14-month-old girl who had tricuspid and pulmonary valve atresia, with right pulmonary artery (RPA) hypoplasia (3 mm), bilateral superior vena cavae and a ductus arteriosus-dependent pulmonary blood flow. Because of 62% postoperative arterial oxygen saturation and a right superior vena cava (RSVC) pressure of 30 mmHg, a 5 mm Gore-Tex tube was interposed to connect the two superior venae cavae. The creation of a 'new-innominate' vein allowed decompression of the right superior vena cava and an increase in arterial oxygen saturation to 86%.
- Published
- 2006
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