Occlusion of the left superior vena cava-coronary sinus connection in a child with Glenn dysfunction by the transcatheter approach

A 14-year-old male patient presented with cyanosis and tiredness. The patient had undergone a Glenn procedure at age 12 following the echocardiographic determination of a double inlet left ventricle, ventriculoarterial discordance, moderate valvular-subvalvular pulmonary artery stenosis, non-restric...

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Bibliographic Details
Published in:Türk Kardiyoloji Derneği arşivi 2014-10, Vol.42 (7), p.671-674
Main Authors: Saygı, Murat, Tola, Hasan Tahsin, Güzeltaş, Alper, Odemiş, Ender
Format: Article
Language:English
Subjects:
Adolescent
amplatzer septal occluder
Cardiac Catheterization
Coronary Sinus - abnormalities
Cyanosis - etiology
Diagnosis, Differential
Fatigue - etiology
Fontan Procedure
glenn dysfunction
Heart Defects, Congenital - complications
Heart Defects, Congenital - diagnosis
Heart Defects, Congenital - therapy
Humans
left superior vena cava
Male
Septal Occluder Device
transcatheter occlusion
Vena Cava, Superior - abnormalities
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Summary:A 14-year-old male patient presented with cyanosis and tiredness. The patient had undergone a Glenn procedure at age 12 following the echocardiographic determination of a double inlet left ventricle, ventriculoarterial discordance, moderate valvular-subvalvular pulmonary artery stenosis, non-restrictive inlet ventricular septal defect and right ventricle hypoplasia; his oxygen saturation was 70%. Echocardiography evaluation showed retrograde flow from the vena cava superior to the innominate vein and a left superior vena cava (LSVC) opening into the coronary sinus (CS). Here, we report the case of a patient evaluated for Glenn dysfunction in whom an increase in oxygen saturation was observed following transcatheter occlusion of the LSVC-CS connection using an Amplatzer septal occluder.
ISSN:1016-5169
1016-5169
DOI:10.5543/tkda.2014.32137