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  • Title: Hemiazygos venous additional pulmonary flow for successful total cavo-pulmonary connection.
    Author: Sughimoto K, Matsuo K, Niwa K, Tateno S, Kawasoe Y, Shirai T, Tatsuno K.
    Journal: Congenit Heart Dis; 2007; 2(5):351-3. PubMed ID: 18377453.
    Abstract:
    Patients who underwent only Glenn procedure after being deemed unsuitable candidates for Fontan completion are not small in number, and may develop arterio-venous (AV) pulmonary malformations during the follow-up period. We present the case of a 17-year-old woman with severe systemic desaturation 13 years after Glenn procedure and repair of total anomalous pulmonary venous return. Among other anomalies, the patient disclosed hemiazygos continuation to a persistent left superior vena cava. This case supports the concept that returning flow from the abdominal vein plays an important role in the well-balanced growth of the pulmonary artery and in the inhibition of the pulmonary AV malformation.
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