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Management of azygos vein "steal" following hemi-Fontan by transcatheter coil embolization
1Department of Pediatric Cardiology, Geisinger Clinic, Danville, PA 17822-1339, USA.
Catheterization and Cardiovascular Diagnosis
|December 1, 1996
Insights
Azygos vein "steal" caused cyanosis in an infant after hemi-Fontan surgery for hypoplastic left heart syndrome. Transcatheter coil embolization successfully treated this complication, leading to immediate clinical improvement.
Area of Science:
- Pediatric Cardiology
- Congenital Heart Disease Management
- Interventional Cardiology
Background:
- Hypoplastic left heart syndrome (HLHS) is a complex congenital heart defect requiring staged surgical palliation.
- The hemi-Fontan procedure is a surgical step in HLHS palliation.
- Azygos vein 'steal' is a potential complication following cavopulmonary connections.
Abstract:
An 11-mo-old girl developed cyanosis following hemi-Fontan for hypoplastic left heart syndrome. Azygos vein "steal" was diagnosed at catheterization and successfully treated by transcatheter coil embolization. Clinical improvement was seen immediately and at 5-mo follow-up.