Autopsy and Case Reports
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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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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.


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


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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. []. [PMID:25704070]

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