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Published on April 11, 2008
Interactive CardioVascular and Thoracic Surgery 2008, doi:10.1510/icvts.2008.175596
© 2008 European Association of Cardio-Thoracic Surgery

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Right arrow Congenital - cyanotic

Congenital

Rare venous connection causing severe hypoxia after Fontan operation

Yasunobu Hayabuchi 1*, Miki Inoue 1, Shoji Kagami 1

1 University of Tokushima, Japan

* To whom correspondence should be addressed. E-mail: hayabuchi{at}clin.med.tokushima-u.ac.jp.


   Abstract
We described a rare case of cyanosis following the Fontan operation with right-to-left shunting at the venous level, that is, an azygos venous to pulmonary venous connection. Few cases with partial anomalous pulmonary venous connection to azygos vein have been reported; however, there have been no report describing the connection from azygos vein to pulmonary vein, which results in desaturation after Fontan operation. Multidetector-row computed tomography (MDCT) was a useful tool to depict this vascular malformation. Keywords: Fontan operation; Cyanosis; Collateral vessel





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