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The Journal of Thoracic and Cardiovascular Surgery, Vol 71, 371-375, Copyright © 1976 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Nonoperative management of late failure of a Glenn anastomosis. Transvenous wafer occlusion of patent superior vena cava--right atrial junction

LL Bailey, RM Freedom, RJ Fowler and GA Trusler

A case is presented illustrating delayed failure of a right Glenn anastomosis due to patency of the superior vena cava-right atrial (SVC- RA) junction. Clinical deterioration was rectified by a unique nonoperative approach. A transvenous catheter was designed, constructed, and used to accurately place an umbrella-like occlusive wafer at the SVC-RA junction. In this manner the integrity of the cavopulmonary shunt was re-established. A gratifying and uncomplicated palliation has thus far been achieved.




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Copyright © 1976 by The American Association for Thoracic Surgery.