Autopsy and Case Reports
https://autopsyandcasereports.org/article/doi/10.4322/acr.2019.118
Autopsy and Case Reports
Article / Autopsy Case Report

Superior vena cava obstruction after the Glenn procedure

Marina Costa Jonas; Fernando Silva Ramalho; Walter Villela Andrade Vicente; Paulo Henrique Manso

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Abstract

Acute obstruction of superior vena cava anastomosis right after the Glenn procedure may lead to tragic consequences. We describe the case of a one-year-old child with tricuspid atresia and a previous Blalock-Taussig shunt procedure, who presented severe low cardiac output syndrome right after the Glenn procedure and died forty-four hours after the procedure. The autopsy showed obstruction of the superior vena cava anastomosis. Patients that present superior vena cava syndrome and low cardiac output right after the Glenn procedure should have the surgical anastomosis revised immediately.

Keywords

Heart Disease, Congenital, Heart Bypass, Right, Tricuspid Atresia

References

Nichay NR, Gorbatykh YN, Kornilov IA, et al. Risk factors for unfavorable outcomes after bidirectional cavopulmonary anastomosis. World J Pediatr Congenit Heart Surg. 2017;8(5):575-83. 10.1177/2150135117728505.28901234

Tanoue Y, Kado H, Boku N, et al. Three hundred and thirty-three experiences with the bidirectional Glenn procedure in a single institute. Interact Cardiovasc Thorac Surg. 2007;6(1):97-101. 10.1510/icvts.2006.138560.17669781

François K, Vandekerckhove K, De Groote K, et al. Current outcomes of the bi-directional cavopulmonary anastomosis in single ventricle patients: analysis of risk factors for morbidity and mortality, and suitability for Fontan completion. Cardiol Young. 2016;26(2):288-97. 10.1017/S1047951115000153.25704070

Kogon BE, Plattner C, Leong T, Simsic J, Kirshbom PM, Kanter KR. The bidirectional Glenn operation: a risk factor analysis for morbidity and mortality. J Thorac Cardiovasc Surg. 2008;136(5):1237-42.19026809

 

 

 


Submitted date:
06/26/2019

Accepted date:
08/02/2019

Publication date:
09/11/2019

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