Hostname: page-component-586b7cd67f-t7czq Total loading time: 0 Render date: 2024-11-24T08:17:21.404Z Has data issue: false hasContentIssue false

Inflammatory lung disease in a patient with tricuspid atresia palliated by a Glenn anastomosis

Published online by Cambridge University Press:  19 August 2008

Sara Thorne*
Affiliation:
From the Grown-Up Congenital Heart Disease Unit, Royal Brompton Hospital, London
Jane Somerville
Affiliation:
From the Grown-Up Congenital Heart Disease Unit, Royal Brompton Hospital, London
*
Dr. Sara Thorne, Cardiology Department, The Hospital for Sick Children, Great Ormond Street, London WC1N 3JH, United Kingdom. Tel. 71 405 9200; Fax. 71 831 4850.

Summary

A 37-year-old man with tricuspid atresia, in whom a chronic right apical aspergilloma had stimulated formation of extensive aortopulmonary collateral circulation, suffered reversal of flow within his long-standing fistulous Glenn anastomosis. By reversing the flow through the pulmonary arteriovenous fistula and raising oxygen saturation in the right atrium, the acquired aortopulmonary collateral circulation prevented the increase in cyanosis which usually occurs when fistulous changes develop late after the Glenn operation.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 1996

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. McFaul, RC, Tajik, AJ, Mair, DD, Danielson, GK, Seward, JB. Development of pulmonary arteriovenous shunt after superior vena cava-right pulmonary artery (Glenn) anastomosis. Circulation 1977; 55: 212216.CrossRefGoogle ScholarPubMed
2. Clourier, A, Ash, JM, Smallhorn, JF, Williams, WG, Trusler, GA, Rowe, RD, Rabinovitch, M. Abnormal distribution of pulmonary blood flow after the Glenn shunt or Fontan procedure: risk of development of arteriovenous fistula. Circulation 1985; 72: 471479.CrossRefGoogle Scholar
3. Somerville, J. Clinical identification of the pulmonary blood supply in pulmonary atresia. In: Anderson, RH, Neches, WH, Park, SC, Zuberbuhler, JR (eds). Perspectives in Pediatric Cardiology. Futura Publishing Co., Mount Kisco, New York, 1988, pp 155168.Google Scholar
4. Triedman, JK, Bridges, ND, Mayer, JE Jr, Lock, JE. Prevalence and risk factors for aortopulmonary collateral vessels after Fontan and bidirectional Glenn procedures. J Am Coll Car-diol 1993; 22: 207215.CrossRefGoogle ScholarPubMed