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The Journal of Thoracic and Cardiovascular Surgery, Vol 98, 1045-1050, Copyright © 1989 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
JW Moore, WC Kirby, WA Madden and NS Gaither
Two patients with complex cyanotic congenital heart disease and without
previous Glenn anastomosis underwent modified Fontan operations.
Postoperatively, pulmonary arteriovenous malformations developed that
resulted in cyanosis from significant intrapulmonary right-to-left
shunting. These malformations were detected by pulmonary angiograms and
contrast echocardiograms. Pulmonary arteriovenous malformations may be a
major cause of late clinical deterioration in patients treated with
modified Fontan operations.
ARTICLES
Development of pulmonary arteriovenous malformations after modified Fontan operations
Section of Pediatric Cardiology, Walter Reed Army Medical Center, Washington, DC 20307-5001.
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