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Intrahepatic right-to-left shunting after the Fontan operation

Published online by Cambridge University Press:  15 August 2006

Alessandro Giamberti ,
Robert H. Anderson  and
Marc R. de Leval
Alessandro Giamberti
Affiliation:
Cardiothoracic Unit, Great Ormond Street Hospital for Children NHS Trust; The Institute of Child Health, University College London, London, UK
Robert H. Anderson
Affiliation:
Cardiothoracic Unit, Great Ormond Street Hospital for Children NHS Trust; The Institute of Child Health, University College London, London, UK
Marc R. de Leval
Affiliation:
Cardiothoracic Unit, Great Ormond Street Hospital for Children NHS Trust; The Institute of Child Health, University College London, London, UK
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Abstract

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We describe two patients with right isomerism, corrected with a fenestrated Fontan operation, who suffered severe progressive cyanosis. Cardiac catheterisation in both revealed a massive right-to-left shunt from the inferior caval vein, through the liver, to a hepatic vein draining directly to the left side of the intra-atrial baffle. The anomalous vein was successfully ligated in both patients.

Keywords

Congenital heart defectsisomerismFontan operationcyanosis
Type
Brief Report
Information
Cardiology in the Young , Volume 12 , Issue 3 , May 2002 , pp. 308 - 310
Copyright
2002 Cambridge University Press