Bidirectional cavopulmonary shunt using the azygos vein.

Abstract

A case is described in which a two-year-old boy, diagnosed with common atrioventricular canal, pulmonary atresia, major aortopulmonary collateral artery, asplenia, and situs inversus, underwent palliative operations for the following: unifocalization of the right major aortopulmonary collateral artery, right ventricle-to-pulmonary artery shunt, and pulmonary artery plasty. Upon completion of the bidirectional cavopulmonary shunt operation, we addressed the stenotic lesions of the superior vena cava and left pulmonary artery, and a markedly expanded azygos vein. During this operation, the superior vena cava was divided and we performed cavopulmonary shunting with the azygos vein.

• Authors: Yoshihiro Ko, Yuzuru Nakamura, Koji Nomura, Fumihito Yamashiro
• Journal: The Japanese journal of thoracic and cardiovascular surgery : official publication of the Japanese Association for Thoracic Surgery = Nihon Kyobu Geka Gakkai zasshi (Jpn J Thorac Cardiovasc Surg) Vol. 53 Issue 4 Pg. 213-6 (Apr 2005) ISSN: 1344-4964 [Print] Japan
• PMID: 15875558 (Publication Type: Case Reports, Journal Article)

Topics

• Abnormalities, Multiple (diagnosis, surgery)
• Anastomosis, Surgical
• Azygos Vein (surgery)
• Cardiac Surgical Procedures
• Child, Preschool
• Diagnosis, Differential
• Heart Defects, Congenital (diagnosis, surgery)
• Humans
• Male
• Pulmonary Artery (surgery)
• Pulmonary Atresia (diagnosis, surgery)
• Vena Cava, Superior (surgery)