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  • Title: Development of pulmonary arteriovenous shunt after superior vena cava-right pulmonary artery (Glenn) anastomosis. Report of four cases.
    Author: McFaul RC, Tajik AJ, Mair DD, Danielson GK, Seward JB.
    Journal: Circulation; 1977 Jan; 55(1):212-6. PubMed ID: 830212.
    Abstract:
    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.
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