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The Annals of Thoracic Surgery, Vol 57, 1661-1663, Copyright © 1994 by The Society of Thoracic Surgeons

ARTICLES

Cavopulmonary anastomotic aneurysm: a complication in pulsatile pulmonary arteries

DW Teske, JT Davis and HD Allen
Department of Surgery, Ohio State University College of Medicine, Children's Hospital, Columbus 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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