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Alternativa para operação tipo Fontan extracardíaco: anastomose direta entre o tronco pulmonar e a veia cava inferior

2008; Brazilian Society of Cardiovascular Surgery; Volume: 23; Issue: 3 Linguagem: Inglês

10.1590/s0102-76382008000300028

1678-9741

Ulisses Alexandre Croti, Domingo Marcolino Braile, Moacir Fernandes de Godoy, Fabiana Nakamura Avona,

Vascular anomalies and interventions

Article received on August 22th, 2008 Article accepted on September 12th, 2008 CLINICAL DATA We report a case of a 9-year-old boy, weighing 20.8 kg, born in Salvador, BA. Cyanosis had been reported since birth by his mother, and two years ago she noticed a worsening in his physical condition when he started presenting episodes of dyspnea and fatigue with mild exertion. He was not taking any medication and had no previous surgical interventions. On physical examination, he was in a good health condition, red-faced, hydrated, cyanosis ++++/4+, and digital hipocratism. Systolic fremitus ++/4+ on the left upper sternal border was perceptible on the precordial region, cardiac auscultation with two clicks with a hyperphonetic second heart sound (S2), and systolic murmur ++++/6+ on upper sternal border irradiating to the right. Abdomen was normal. Peripheral pulses were present and symmetrical, and peripheral saturation was 73% on ambient air.