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By Howard S. Weber, MD, FSCAI; Farrah Munir, MD; Bryan P. Stefek, MD; Frank C. Lynch, MD Introduction The development of decompressing veno-venous collaterals is common following the bidirectional Glenn shunt and Fontan operations which can result in varying degrees of systemic desaturation. This phenomenon is thought to be a biologic reaction to the increased systemic venous pressure changes associated with this type of circulation.
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