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Circulation, Vol 55, 212-216, Copyright © 1977 by American Heart Association
RC McFaul, AJ Tajik, DD Mair, GK Danielson and JB Seward
Four patients with cyanotic congenital heart disease who had previously
undergone superior vena cava-right pulmonary artery (Glenn) anastomosis
developed pulmonary arteriovenous malformations that resulted in
significant intrapulmonary right-to-left shunting. This abnormality was
documented by selective angiography, oximetry, and contrast
echocardiogrphy. It may be a major cause of late clinical deterioration in
patients treated with the Glenn anastomosis.
ARTICLES
Development of pulmonary arteriovenous shunt after superior vena cava- right pulmonary artery (Glenn) anastomosis. Report of four cases
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