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Ann Thorac Surg 1994;57:1661-1663
© 1994 The Society of Thoracic Surgeons

Articles

Cavopulmonary anastomotic aneurysm: A complication in pulsatile pulmonary arteries

Douglas W. Teske, MD, J.Terrance Davis, MD*, Hugh D. Allen, MD

Departments of Surgery and Pediatrics, Ohio State University College of Medicine, Children's Hospital, Columbus, Ohio, USA

Accepted for publication September 13, 1993.

* Address reprint requests to Dr Davis, Department of Thoracic Surgery, Children's Hospital. 700 Children's Dr, Columbus, OH 43205.

An aneurysm of a left superior vena cava developed after anastomosis to the left pulmonary artery during repair of an atrioventricular septal defect with a persistent left superior vena cava entering directly into the left atrium. We believe this implies caution should be used in accepting the recent suggestion of using a bidirectional cavopulmonary connection to a pulsatile pulmonary arterial circuit as a way of allowing anatomic correction of atrioventricular septal defect with a small right ventricle.




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