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non diagnosed papvc induce large reverse venovenous shunt after modified fontan surgery: a case report of a rare anomaly and embolization therapy
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نویسنده
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alizadeh sani zahra ,ghasemi abdolrahim ,mohammadzadeh shabnam ,khajali zahra ,behjati mohaddeseh ,alizadehsani roohallah ,khosravi abbas ,nahavandi saeid ,islam sheikh mohammed shariful
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منبع
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journal of cardiovascular and thoracic research - 2021 - دوره : 13 - شماره : 4 - صفحه:364 -366
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چکیده
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Fontan operation is a reliable palliative surgery for patients with single ventricle physiology. still, the development of complication is common; one of these complications that need to interventional approach is veno-venous collaterals between systemic and pulmonary veins. a 16-year-old girl with a history of modified fontan operation at 9 years ago was referred with progressive cyanosis and dyspnea on exertion. in contrast trans-thoracic echocardiography (tte), no fenestration was seen in fontan circulation. cardiac magnetic resonance revealed partial anomalous pulmonary vein connection (papvc) from left upper pulmonary vein to vertical vein and then into the innominate vein and svc with the reverse flow from superior vena cava (svc) to left upper pulmonary vein (lupv). this anomalous vein became severe engorged and tortuous. possibly, lupv and the vertical vein was dilated gradually as a result of increased pressure in the fontan circuit. finally, she underwent successful coil embolization in the midpart of the vertical vein. the oxygen saturation increased from 80% to 93%.
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کلیدواژه
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venovenous collateral ,fontan ,cardiac magnetic resonance imaging
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آدرس
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iran university of medical sciences, shaheed rajaei cardiovascular & medical research center, mri department, iran, shahid beheshti university of medical sciences, modarres hospital, iran, tehran university of medical sciences, imam khomeini hospital, iran, iran university of medical sciences, shaheed rajaei cardiovascular & medical research center, iran, iran university of medical sciences, shaheed rajaei cardiovascular & medical research center, iran, deakin university, institute for intelligent systems research and innovation, australia, deakin university, institute for intelligent systems research and innovation, australia, deakin university, institute for intelligent systems research and innovation, australia, deakin university, institute for physical activity and nutrition, australia. george institute for global health, cardiovascular division, australia. university of sydney, sydney medical school, australia
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پست الکترونیکی
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shariful.islam@deakin.edu.au
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Authors
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