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- W2329121645 abstract "Objective: To examine the effects of bidirectional cavopulmonary anastomosis (Glenn shunt) on pulmonary blood flow distribution in a group of patients who underwent the procedure as an intermediate stage before the Fontan procedure. Patients and methods: Perfusion lung scans were preformed in 23 patients with a functional single ventricle with pulmonary atresia who underwent Glenn shunt anastomosis as an intermediate stage previous to the Fontan procedure, to determine the distribution of pulmonary blood flow. Follow-up studies included echocardiography in every patient and angiocardiography in five of them. Results: Perfusion lung scans showed symmetric distribution of pulmonary blood flow in 17% of the patients, whereas an asymmetric distribution of pulmonary blood flow was found in 83% of the patients. Overall there was a better distribution of pulmonary blood flow toward the right lung. The proximal diameter of the main pulmonary arteries showed a significant difference between them. Angiocardiography did not show an increase in mean pulmonary arterial pressure except in two patients. Conclusions: Our results suggest that an abnormal distribution of pulmonary blood flow might occur in those patients who underwent cavopulmonary anastomosis. Decrease in diameter of the main pulmonary arteries could be responsible of the perfusion abnormalities." @default.
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- W2329121645 date "2005-01-01" @default.
- W2329121645 modified "2023-09-27" @default.
- W2329121645 title "Patrones de perfusión pulmonar posterior a anastomosis cavopulmonar superior" @default.
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