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Ann Thorac Surg 2002;73:273-274
© 2002 The Society of Thoracic Surgeons

Case report

Pulmonary venous obstruction after total cavopulmonary connection in heterotaxy

Tetsuro Uchida, MDa, Hideki Uemura, MD*a, Toshikatsu Yagihara, MDa, Shinya Tsukano, MDb, Soichiro Kitamura, MDa

a Department of Cardiovascular Surgery, National Cardiovascular Center, Osaka, Japan
b Department of Pediatric Cardiology, National Cardiovascular Center, Osaka, Japan

Accepted for publication March 2, 2001.

* Address reprint requests to Dr Uemura, Department of Cardiovascular Surgery, National Cardiovascular Center, 5-7-1 Fujishirodai, Suita, Osaka 565-8565, Japan
e-mail: huemura{at}hsp.ncvc.go.jp

Pulmonary venous obstruction is a rare complication after total cavopulmonary connection by intraatrial grafting. We experienced this complication in two patients. In one of them, a large prosthesis produced inflow obstruction of the dominant ventricle and was successfully replaced with a smaller tube. In the other patient, the intraatrial tube had become severely adherent to the common pulmonary venous orifice and was removed entirely. Conversion to an extracardiac Fontan circulation was later successfully established.




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