Autopsy and Case Reports (Jul 2019)

Superior vena cava obstruction after the Glenn procedure

  • Marina Costa Jonas,
  • Fernando Silva Ramalho,
  • Walter Villela Andrade Vicente,
  • Paulo Henrique Manso

DOI
https://doi.org/10.4322/acr.2019.118
Journal volume & issue
Vol. 9, no. 3

Abstract

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Acute obstruction of superior vena cava anastomosis right after the Glenn procedure may lead to tragic consequences. We describe the case of a one-year-old child with tricuspid atresia and a previous Blalock-Taussig shunt procedure, who presented severe low cardiac output syndrome right after the Glenn procedure and died forty-four hours after the procedure. The autopsy showed obstruction of the superior vena cava anastomosis. Patients that present superior vena cava syndrome and low cardiac output right after the Glenn procedure should have the surgical anastomosis revised immediately.

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