A unique approach to Fontan revision in a cyanotic patient
| Autor: | Vincent Parnell, Richard A. Friedman, Justin Georgekutty, Chetan Sharma, Dipak Kholwadwala, Krittika Joshi, Nilanjana Misra |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Lung business.industry medicine.medical_treatment 030204 cardiovascular system & hematology Partial resection Preferential flow Surgery Kawashima procedure 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Superior vena cava 030225 pediatrics medicine.artery Pediatrics Perinatology and Child Health Pulmonary artery cardiovascular system Medicine Favorable outcome Cardiology and Cardiovascular Medicine business Heterotaxy |
| Zdroj: | Progress in Pediatric Cardiology. 59:101298 |
| ISSN: | 1058-9813 |
| Popis: | Unilateral pulmonary arteriovenous malformations can develop in heterotaxy patients with single ventricle physiology after Kawashima procedure due to preferential flow streaming to one lung. We present the case of a 25 year old patient with this physiology who presented with resting cyanosis to 75% in room air. Our patient underwent a unique revision to reverse the development of arteriovenous malformations with partial resection of her hepatic vein-right pulmonary artery conduit and placement of new conduit connecting hepatic veins to innominate vein which then drained into left-sided superior vena cava, resulting in favorable outcome. |
| Databáze: | OpenAIRE |
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