Rare venous connection causes severe cyanosis after the Fontan operation

Ann Thorac Surg. 2001 Dec;72(6):2127-8. doi: 10.1016/s0003-4975(01)02728-x.

Abstract

We describe a rare case of cyanosis following the Fontan operation secondary to right-to-left shunting through a pulmonary vein connected to both the left atrium and the hepatic veins. This is a hazardous anomaly in a Fontan candidate and should be considered in those with unexpected postoperative desaturation.

Publication types

  • Case Reports

MeSH terms

  • Angiography
  • Child
  • Child, Preschool
  • Cyanosis / diagnostic imaging
  • Cyanosis / etiology*
  • Cyanosis / surgery
  • Diagnosis, Differential
  • Fontan Procedure*
  • Heart Atria / abnormalities
  • Heart Atria / diagnostic imaging
  • Heart Atria / surgery
  • Hepatic Veins / abnormalities*
  • Hepatic Veins / diagnostic imaging
  • Hepatic Veins / surgery
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Postoperative Complications / diagnostic imaging
  • Postoperative Complications / etiology*
  • Postoperative Complications / surgery
  • Pulmonary Veins / abnormalities*
  • Pulmonary Veins / diagnostic imaging
  • Pulmonary Veins / surgery
  • Reoperation