High incidence of abdominal venovenous collaterals after Kawashima operation
| Autor: | Akhlaque N. Bhat, Muhammed Riyas K Rahmath, Faraz Masud, Muhammad Dilawar, Ahmad Sallehuddin, Reema Yousef Kamal |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Vena Cava Inferior Pulmonary Artery Fontan Procedure Arteriovenous Malformations Abdomen medicine Humans Abnormalities Multiple Cardiac Surgical Procedures Child Blalock-Taussig Procedure Qatar Retrospective Studies Interrupted inferior vena cava business.industry Incidence (epidemiology) Incidence Kawashima operation Anastomosis Surgical Angiography General Medicine Surgery Oxygen Child Preschool Pediatrics Perinatology and Child Health Female High incidence Cardiology and Cardiovascular Medicine business Biomarkers Follow-Up Studies |
| Zdroj: | World journal for pediatriccongenital heart surgery. 5(1) |
| ISSN: | 2150-136X |
| Popis: | Introduction: Systemic venous collaterals have been found at different stages of single-ventricle palliation, specifically after Kawashima operation. In this study, we present the incidence, clinical features, associated risk factors, and management of such venovenous collaterals (VVCs) after Kawashima procedure. Materials and Methods: A retrospective review of all the patients who underwent Kawashima procedure prior to December 2011 at Hamad General Hospital, Qatar, was performed. Data were collected and reviewed from medical records. Results: The study group involved a total of six patients with Kawashima procedure. The median age of patients was 112.7 months (range 46-336 months), and median age at the time of Kawashima operation was 31.7 months (range 15-187 months). Mean systemic arterial oxygen saturation (Spo2) after Kawashima operation was 94.5% ± 1.5%. In five patients, during a median follow-up of 53.4 months (range 16.9-147.9 months), the Spo2 declined to a mean of 78.8% ± 8.2%. A total of 16 venous collaterals were observed in the study group, and majority (70%) of these collaterals were subdiaphragmatic. Conclusion: In our study, abdominal VVCs were observed in 100% of the patients who were followed after Kawashima operation. We therefore recommend that thorough evaluation for such VVCs should be part of the ongoing evaluation of patients after Kawashima operation, especially in those with low Spo2. We also recommend early surgical rerouting of hepatic veins to pulmonary arteries in all post-Kawashima patients. |
| Databáze: | OpenAIRE |
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