Journal of the American Society of Echocardiography
Volume 9, Issue 2 , Pages 202-205, March 1996

Reversal of flow in the left pulmonary artery after cavopulmonary connection

From the Department of Pediatrics, Primary Children's Medical Center, Salt Lake City, Utah, USA

the University of Utah. Salt Lake City, Utah, USA

Abstract 

The postoperative course of a 15-month-old girl who underwent a bilateral bidirectional cavopulmonary connection was complicated by a left chylothorax and left hemidiaphragm paralysis. Two-dimensional and Doppler echocardiography revealed complete flow reversal in the left pulmonary artery. This flow abnormality was confirmed by angiography. Multiple aortopulmonary collaterals had also developed and were coil embolized at the time of catheterization. Coil embolization of the collaterals, combined with relief of the chylothorax and diaphragmatic plication, reestablished forward flow in the left pulmonary artery.

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PII: S0894-7317(96)90031-0

Journal of the American Society of Echocardiography
Volume 9, Issue 2 , Pages 202-205, March 1996

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