Division of venous collateral after Glenn shunt by minimally invasive surgery.

Payne, R M; Bensky, A S; Hines, M H · Ann Thorac Surg · 2000

case_report · Level V

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Abstract

An infant with cyanotic heart disease that was palliated with a bidirectional cavopulmonary shunt developed progressive cyanosis 3 months after the surgical procedure. A large hemizygous vein was found to be decompressing the bidirectional Glenn shunt from the left innominate vein and was ligated using video-assisted thoracoscopic surgery. The unusually rapid appearance of the shunt, and the excellent outcome associated with the video-assisted thoracoscopic surgery procedure are discussed.

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