Unintended right-to-left shunt after Fontan operation: Consequence of unligated vertical vein in a child with total anomalous pulmonary venous drainage,

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Unintended right-to-left shunt after Fontan operation: Consequence of unligated vertical vein in a child with total anomalous pulmonary venous drainage, single ventricle, and heterotaxy David Mishaly, MD, Julius Hegesh, MD, Mira Frand, MD, Aram Smolinsky, MD, Gabriel Amir, MD The Journal of Thoracic and Cardiovascular Surgery Volume 125, Issue 2, Pages 421-423 (February 2003) DOI: 10.1067/mtc.2003.144 Copyright © 2003 American Association for Thoracic Surgery Terms and Conditions

Fig. 1 Spiral contrast computed tomography showing patent VV coming off portal vein and draining to right lower pulmonary vein. ao, Aorta. The Journal of Thoracic and Cardiovascular Surgery 2003 125, 421-423DOI: (10.1067/mtc.2003.144) Copyright © 2003 American Association for Thoracic Surgery Terms and Conditions

Fig. 2 A, Operative view showing wide open VV parallel to aorta (ao) and spine (sp). B, VV is seen to be ligated with double clips. The Journal of Thoracic and Cardiovascular Surgery 2003 125, 421-423DOI: (10.1067/mtc.2003.144) Copyright © 2003 American Association for Thoracic Surgery Terms and Conditions