The Kawashima Operation With Simultaneous Preparation for Transcatheter Fontan-Kreutzer Completion
| Autor: | Inés Ana Martínez, Jesus Damsky Barbosa, María Fernanda Biancolini, Ignacio Lugones, Nalá Junco |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Heart Defects
Congenital medicine.medical_specialty Percutaneous Heart Ventricles medicine.medical_treatment Vena Cava Inferior 030204 cardiovascular system & hematology Fontan Procedure Arteriovenous Malformations Fontan procedure 03 medical and health sciences 0302 clinical medicine medicine Humans Heart bypass cardiovascular diseases Atrium (heart) business.industry Heart Bypass Right Kawashima operation Infant General Medicine Right pulmonary artery Surgery medicine.anatomical_structure 030228 respiratory system Ventricle Azygos Vein Pediatrics Perinatology and Child Health cardiovascular system Female Cardiology and Cardiovascular Medicine business Venous return curve |
| Zdroj: | World Journal for Pediatric and Congenital Heart Surgery. 11:105-107 |
| ISSN: | 2150-136X 2150-1351 |
| DOI: | 10.1177/2150135119882327 |
| Popis: | Patients with functionally single ventricle and interrupted inferior vena cava may develop progressive cyanosis soon after the Kawashima operation. Therefore, early redirection of the hepatic venous return to the pulmonary circulation is recommended. To avoid performing an early redo sternotomy, we propose to prepare these patients for the interventional Fontan-Kreutzer at the time of the Kawashima operation using a technical modification of the approach reported by Prabhu and coworkers in 2017. The technique described here uses an expanded polytetrafluoroethylene conduit interposed between the hepatic veins and the right pulmonary artery. This graft is everted and divided into two portions with a pericardial patch. The lower one is widely opened and anastomosed side-to-side to the atrium. A few months after the operation, percutaneous Fontan-Kreutzer completion can easily be performed using covered stents to open the patch and at the same time close the opening between the conduit and the atrium. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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