Haemodynamic consequences following closure of an Abernethy malformation in a patient following a total cavopulmonary shunt

Cardiology in the Young
Deepa SasikumarAnoop Ayyappan

Abstract

A 17-year-old girl with situs ambiguous, hypoplastic right ventricle with a large ventricular septal defect, and severe pulmonary stenosis had undergone Kawashima operation 10 years back. She had significant desaturation because of a large Abernethy malformation, with reverse shunting from the inferior caval vein to the portal vein. It was closed with a vascular plug, with improvement in oxygen saturation. She developed extensive inferior caval vein thrombus following the procedure, which was managed conservatively by anti-coagulation.

References

Dec 23, 2006·Cardiology in the Young·Christopher RatnasamySethuraman Swaminathan
Oct 10, 2014·Annals of Pediatric Cardiology·Shyam S Kothari
Dec 31, 2015·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Walter KnirschOliver Kretschmar
Feb 7, 2017·Annals of Pediatric Cardiology·Vinoth Doraiswamy, Kothandam Sivakumar

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