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Eur J Cardiothorac Surg 2006;29:112-113
© 2006 Elsevier Science NL

Case report

A Gore-Tex ‘new-innominate’ vein: a surgical option for complicated bilateral cavopulmonary shunts

Pediatric Cardiac Surgery Unit of Guatemala (UNICAR), 9 Avenida, 8-00, Zona 11, Guatemala Ciudad, Guatemala

Received 12 September 2005; received in revised form 25 September 2005; accepted 17 October 2005.

^_* Corresponding author. Tel.: +502 4711563; fax: +502 4724053. (Email: vladimirovida{at}interfree.it).

A bilateral bidirectional cavopulmonary shunt was performed in a cyanotic 14-month-old girl who had tricuspid and pulmonary valve atresia, with right pulmonary artery (RPA) hypoplasia (3 mm), bilateral superior vena cavae and a ductus arteriosus-dependent pulmonary blood flow. Because of 62% postoperative arterial oxygen saturation and a right superior vena cava (RSVC) pressure of 30 mmHg, a 5 mm Gore-Tex tube was interposed to connect the two superior venae cavae. The creation of a ‘new-innominate’ vein allowed decompression of the right superior vena cava and an increase in arterial oxygen saturation to 86%.

Key Words: Prosthetic graft • Innominate vein • Cavopulmonary shunt

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