Waterbolk T W, Talsma M D, Loef B G, Slooff M J, Ebels T
Department of Pediatrics, University Hospital Groningen, The Netherlands.
Ann Thorac Surg. 1995 May;59(5):1226-8. doi: 10.1016/0003-4975(94)00889-f.
An increasing right-to-left shunt after a total cavopulmonary connection was treated by banding the separate liver vein. As a variation on a fenestrated total cavopulmonary connection, this liver vein was not connected with the intercaval tunnel. After a few days, the shunt increased to an unacceptable level. This was treated by banding the liver vein, which was connected with the right-sided atrium and turned out to be only part of the venous drainage of the liver.
