Key result
Glenn anastomosis is linked to pulmonary arteriovenous malformations and significant intrapulmonary right-to-left shunting.
Why the study?
Pulmonary arteriovenous malformations causing significant intrapulmonary right-to-left shunting may be a major cause of late clinical deterioration after Glenn anastomosis.
Does superior vena cava-right pulmonary artery (Glenn) anastomosis lead to the development of pulmonary arteriovenous malformations in patients with cyanotic congenital heart disease?
Case Report (n=4)
Does superior vena cava-right pulmonary artery (Glenn) anastomosis lead to the development of pulmonary arteriovenous malformations in patients with cyanotic congenital heart disease?
Pulmonary arteriovenous malformations may be a major cause of late clinical deterioration in patients treated with the Glenn anastomosis.
Answers are grounded in this paper and cite their sources.
May underlie late cyanosis after Glenn shunt; hypothesis-generating for mechanisms and prevention.
Four patients with cyanotic congenital heart disease who had previously undergone superior vena cava-right pulmonary artery (Glenn) anastomosis developed pulmonary arteriovenous malformations that resulted in significant intrapulmonary right-to-left shunting. This abnormality was documented by selective angiography, oximetry, and contrast echocardiogrphy. It may be a major cause of late clinical deterioration in patients treated with the Glenn anastomosis.
No takes yet. Share an insight, caveat, or question.
McFaul et al. (1977) conducted a case report in Cyanotic congenital heart disease post-Glenn anastomosis (n=4). Superior vena cava-right pulmonary artery (Glenn) anastomosis was evaluated on Development of pulmonary arteriovenous malformations resulting in significant intrapulmonary right-to-left shunting. Superior vena cava-right pulmonary artery (Glenn) anastomosis was associated with the development of pulmonary arteriovenous malformations and significant intrapulmonary right-to-left shunting.
Synapse has enriched 10 related papers. Consider them for comparative context: