Abstract
Preserving antegrade pulmonary blood flow in patients who are candidates for univentricular repair and receive palliation by the Glenn anastomosis is still controversial. In this article, a three-year-old girl underwent cavopulmonary anastomosis with preserved antegrade pulmonary blood flow. Cardiac catheterization performed for repetitive pleural effusions and superior vena cava syndrome revealed that the mean pulmonary artery pressure was quite elevated (27 mmHg) for Glenn anastomosis. The mean pulmonary arterial pressure was decreased to an acceptable level (17 mmHg) for Glenn anastomosis, by transcatheter occlusion of antegrade pulmonary blood flow using a Cardio-Fix Duct occluder.
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