Document Detail

Left innominate vein-pulmonary artery shunt with Glenn anastomosis in a Fontan candidate with central pulmonary artery stenosis.
MedLine Citation:
PMID:  14627329     Owner:  NLM     Status:  MEDLINE    
Heart failure developed 9 years after Fontan takedown with systemic-pulmonary artery shunt in a 12-year-old girl with pulmonary atresia, intact ventricular septum, and obstruction in the proximal pulmonary artery. Surgical scar after multiple operations complicated direct repair of the pulmonary artery, and thus she was not eligible for definitive palliation. Left innominate vein-to-left pulmonary artery shunt using an expanded polytetrafluoroethylene conduit in association with Glenn anastomosis functionally established an unobstructive superior cavopulmonary connection without direct repair of the central pulmonary artery, later facilitating one and a half ventricle repair. Use of an extraanatomical shunt may functionally relieve central pulmonary artery obstruction in candidates for Fontan-like circulation.
Y Kaneko; Y Hirata; K Yagyu; K Tsuchiya
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pediatric cardiology     Volume:  24     ISSN:  0172-0643     ISO Abbreviation:  Pediatr Cardiol     Publication Date:    2003 Sep-Oct
Date Detail:
Created Date:  2003-11-20     Completed Date:  2004-01-05     Revised Date:  2008-02-20    
Medline Journal Info:
Nlm Unique ID:  8003849     Medline TA:  Pediatr Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  516-9     Citation Subset:  IM    
Department of Cardiovascular Surgery, Japanese Red Cross Medical Center, 4-1-22 Hiroo, Shibuya-ku, Tokyo 150-8935, Japan.
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MeSH Terms
Arteriovenous Shunt, Surgical*
Brachiocephalic Veins / surgery*
Fontan Procedure*
Heart Septal Defects, Ventricular / surgery
Infant, Newborn
Pulmonary Artery / surgery*
Pulmonary Atresia / surgery
Pulmonary Valve Stenosis / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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