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Circular shunt in bidirectional cavopulmonary anastomosis

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Presentation on theme: "Circular shunt in bidirectional cavopulmonary anastomosis"— Presentation transcript:

1 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 (September 2016) DOI: /j.jtcvs Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

2 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  , DOI: ( /j.jtcvs ) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

3 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  , DOI: ( /j.jtcvs ) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

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

5 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 The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

6 Video 2 Cineangiographic view of the circular shunt. Video available at The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

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