Is seeing believing: An obstructed bidirectional Glenn, that wasn't

At induction, the central venous pressure (CVP) transduced by the right internal jugular vein line was around 20-22 mmHg. The patient had an uneventful postoperative course and was eventually discharged in stable condition. [...]we believe that it was the jet coming from the PA band [Figure 1] that,...

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Bibliographic Details
Published in:Annals of pediatric cardiology 2018-05, Vol.11 (2), p.230-231
Main Authors: Pratap, Himanshu, Vashisht, Neetu, Awasthy, Neeraj, Dagar, Kulbhushan
Format: Article
Language:English
Subjects:
Catheters
Heart surgery
Intubation
Letters to Editor
Pediatrics
Pulmonary arteries
Online Access:Get full text
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Summary:At induction, the central venous pressure (CVP) transduced by the right internal jugular vein line was around 20-22 mmHg. The patient had an uneventful postoperative course and was eventually discharged in stable condition. [...]we believe that it was the jet coming from the PA band [Figure 1] that, given its location in this particular case, was directed at the Glenn anastomosis and must have resulted in flow reversal and all its consequences. [...]in patients with pulsatile Glenn, an attempt should be made to measure the PA pressure after balloon occlusion of the antegrade flow during catheterization to estimate the correct PA pressure.
ISSN:0974-2069
0974-5149
DOI:10.4103/apc.APC_173_17