Circular shunt in bidirectional cavopulmonary anastomosis

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Presentation transcript:

Circular shunt in bidirectional cavopulmonary anastomosis K.M. Krishnamoorthy, DM, DNB, FACC, S.S. Sivasankaran, DM, DNB The Journal of Thoracic and Cardiovascular Surgery Volume 152, Issue 3, Pages 921-923 (September 2016) DOI: 10.1016/j.jtcvs.2016.04.067 Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Echocardiographic views. A, Subcostal 4-chamber view echocardiography showing dilated left vena cava (LSVC), coronary sinus (CS), and atrial septal defect (ASD). PV, Right and left upper pulmonary veins; LA, left atrium; RA, right atrium. White arrow points to entry of the coronary sinus into the right atrium. B, Pulsed-wave Doppler image showing systolic wave in the coronary sinus (white arrow) corresponding to antegrade flow in pulmonary artery (see panel D). C, Continuous-wave Doppler image showing a gradient across the pulmonary valve. D, Pulmonary arterial (PA) pressure tracing during catheterization. White arrow points to systolic antegrade flow. The Journal of Thoracic and Cardiovascular Surgery 2016 152, 921-923DOI: (10.1016/j.jtcvs.2016.04.067) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Angiographic view. A, Frozen frame of angiographic view of the circular shunt. B, Schematic view of the circular shunt. RSVC, Right superior vena cava; LSVC, left superior vena cava; RPA, right pulmonary artery; ASD, atrial septal defect; RA, right atrium; CS, coronary sinus; LV, left ventricle. The Journal of Thoracic and Cardiovascular Surgery 2016 152, 921-923DOI: (10.1016/j.jtcvs.2016.04.067) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Circular shunt after cavopulmonary connection. The Journal of Thoracic and Cardiovascular Surgery 2016 152, 921-923DOI: (10.1016/j.jtcvs.2016.04.067) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Video 1 Subcostal 4-chamber echocardiographic view showing dilated coronary sinus and left superior vena cava. White arrow points to the entry of the coronary sinus, which shows pulsatile flow. PV, Right and left upper pulmonary veins; LA, left atrium; ASD, atrial septal defect; LSVC, left superior vena cava; CS, coronary sinus; RA, right atrium. Video available at http://www.jtcvsonline.org. The Journal of Thoracic and Cardiovascular Surgery 2016 152, 921-923DOI: (10.1016/j.jtcvs.2016.04.067) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Video 2 Cineangiographic view of the circular shunt. Video available at http://www.jtcvsonline.org. The Journal of Thoracic and Cardiovascular Surgery 2016 152, 921-923DOI: (10.1016/j.jtcvs.2016.04.067) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions