Reversal of increased pulmonary arterial pressure associated with systemic venous collaterals after tonsillectomy in a Fontan candidate after the Glenn.

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Reversal of increased pulmonary arterial pressure associated with systemic venous collaterals after tonsillectomy in a Fontan candidate after the Glenn procedure: Impact of obstructive sleep apnea on Fontan circulation Hirofumi Sawada, MD, Yoshihide Mitani, MD, PhD, Hiroyuki Ohashi, MD, Hidetoshi Hayakawa, MD, PhD, Yukiko Ikeyama, MD, Shin Takabayashi, MD, PhD, Hideto Shimpo, MD, PhD, Kazuo Maruyama, MD, PhD, Yoshihiro Komada, MD, PhD The Journal of Thoracic and Cardiovascular Surgery Volume 133, Issue 5, Pages 1371-1373 (May 2007) DOI: 10.1016/j.jtcvs.2007.01.016 Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Changes in oxygen saturation levels and pulmonary hemodynamics over time and their association with treatments for cardiovascular disorder and OSA. Rt.m-BT, Right modified Blalock–Taussig; PA, pulmonary artery; LA, left atrium. The Journal of Thoracic and Cardiovascular Surgery 2007 133, 1371-1373DOI: (10.1016/j.jtcvs.2007.01.016) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 A, Pulmonary angiograms at the age of 3 years and 4 months. Contrast injection in the superior vena cava shows venous collateral drain into the left renal vein. PA index (cross-sectional area of the right and left PAs/body surface area) was 114 mm2/m2. B, Angiography after transcatheter coil embolization for systemic venous collaterals. The collaterals were completely occluded. PA index was 167 mm2/m2. C, Angiography 6 months after Fontan operation. PA index was 162 mm2/m2. The Journal of Thoracic and Cardiovascular Surgery 2007 133, 1371-1373DOI: (10.1016/j.jtcvs.2007.01.016) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions