Tw. Waterbolk et al., INCREASING CYANOSIS AFTER TOTAL CAVOPULMONARY CONNECTION TREATED BY BANDING A SEPARATE LIVER VEIN, The Annals of thoracic surgery, 59(5), 1995, pp. 1226-1228
An increasing right-to-left shunt after a total cavopulmonary connecti
on was treated by banding the separate liver vein. As a variation on a
fenestrated total cavopulmonary connection, this liver vein was not c
onnected with the intercaval tunnel. After a few days, the shunt incre
ased to an unacceptable level. This was treated by banding the liver v
ein, which was connected with the right-sided atrium and turned out to
be only part of the venous drainage of the liver.