case_images: PMC11334121_01
case_images: Catheterization performed at 22 days. White arrows indicate bilateral ductus arteriosus.
case_images: 10.1177_2050313X241274185-fig1.jpg
case_images: PMC11334121_01_10.1177_2050313X241274185-fig1.jpg
case_images: fig1-2050313X241274185
case_images: A cardiac catheterization performed at 22 days (Figure 1) revealed a pulmonary vascular resistance of 1.6 U/m2 and right pulmonary wedge pressure of 13/10 mmHg.
case_images: (a) This preoperative drawing shows that the ductus arteriosus on both sides were connected to the respective left and right pulmonary arteries. The superior vena cava was located on the left side. (b) This drawing shows the condition after the initial operation (reconstructed main pulmonary artery and central shunt). (c) This post-Glenn procedure drawing shows that the central shunt was ligated, and the superior vena cava was anastomosed to an autologous pericardial roll. (d) This detailed drawing of Figure 2(b) shows that the ductus arteriosus on both sides were ligated, severed, and excised down to the ductal tissue, cutting into the upper lobe and middle-lower lobe branches. They were then anastomosed to an autologous pericardial roll.
case_images: 10.1177_2050313X241274185-fig2.jpg
case_images: PMC11334121_01_10.1177_2050313X241274185-fig2.jpg
case_images: fig2-2050313X241274185
case_images: Both ductus arteriosus were ligated (Figure 2).
case_images: Catheterized at 5 months of age. An enlarged autologous pericardial portion is depicted.
case_images: 10.1177_2050313X241274185-fig3.jpg
case_images: PMC11334121_01_10.1177_2050313X241274185-fig3.jpg
case_images: fig3-2050313X241274185
case_images: Thereafter, his developmental milestones and body weight gain were within the normal range, and he underwent repeat catheterization at 5 months of age (Figures 3 and 4).
case_images: CT scan at 5 months of age. An enlarged autologous pericardial portion is depicted.. CT: computed tomography.
case_images: 10.1177_2050313X241274185-fig4.jpg
case_images: PMC11334121_01_10.1177_2050313X241274185-fig4.jpg
case_images: fig4-2050313X241274185
case_images: Thereafter, his developmental milestones and body weight gain were within the normal range, and he underwent repeat catheterization at 5 months of age (Figures 3 and 4).
case_images: CT scan with three-dimensional volume-rendered reconstruction after total cavo pulmonary connection.. CT: computed tomography.
case_images: 10.1177_2050313X241274185-fig5.jpg
case_images: PMC11334121_01_10.1177_2050313X241274185-fig5.jpg
case_images: fig5-2050313X241274185
case_images: Subsequently, total cava pulmonary connection was performed at 31 months of age (Figure 5).