Pulmonary AV Malformations After Superior Cavopulmonary Connection: Resolution After Inclusion of Hepatic Veins in the Pulmonary Circulation Maully J.

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Presentation transcript:

Pulmonary AV Malformations After Superior Cavopulmonary Connection: Resolution After Inclusion of Hepatic Veins in the Pulmonary Circulation Maully J Shah, MBBS, Jack Rychik, MD, Mark A Fogel, MD, John D Murphy, MD, Marshall L Jacobs, MD The Annals of Thoracic Surgery Volume 63, Issue 4, Pages 960-963 (April 1997) DOI: 10.1016/S0003-4975(96)00961-7

Fig. 1 Pulmonary arteriogram of pulmonary arteriovenous malformation after cavopulmonary anastomosis. An injection through a catheter placed in the superior vena cava–right pulmonary artery (RPA) junction shows simultaneous visualization of contrast in the right pulmonary artery as well as the pulmonary veins. There is a diffuse reticular pattern of the vasculature and an absent capillary phase. Selective left pulmonary arteriogram showed a similar appearance in the left lung. (AZG.V = azygos vein; RPV = right pulmonary veins.) The Annals of Thoracic Surgery 1997 63, 960-963DOI: (10.1016/S0003-4975(96)00961-7)

Fig. 2 Pulmonary arteriogram after surgical inclusion of hepatic venous blood in the pulmonary circulation. Catheter placed through the azygos vein into the superior vena cava–right pulmonary artery (RPA)–right atrial confluence shows normal pulmonary architecture and absence of diffuse reticular pattern. (HEP.V = hepatic veins; LPA = left pulmonary artery.) The Annals of Thoracic Surgery 1997 63, 960-963DOI: (10.1016/S0003-4975(96)00961-7)