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Increasing cyanosis after total cavopulmonary connection treated by banding a separate liver vein
T W Waterbolk1, M D Talsma, B G Loef
1Department of Pediatrics, University Hospital Groningen, The Netherlands.
The Annals of Thoracic Surgery
|May 1, 1995
Abstract:
An increasing right-to-left shunt after a total cavopulmonary connection was treated by banding the separate liver vein. As a variation on a fenestrated total cavopulmonary connection, this liver vein was not connected with the intercaval tunnel. After a few days, the shunt increased to an unacceptable level. This was treated by banding the liver vein, which was connected with the right-sided atrium and turned out to be only part of the venous drainage of the liver.