Redirection of the hepatic venous flow for the treatment of pulmonary arteriovenous malformations after Fontan operation
| Autor: | Yutaka Imoto, Akira Sese, Kunitaka Joh |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Heart Defects
Congenital Male medicine.medical_specialty Pulmonary Circulation medicine.medical_treatment Hepatic Veins Pulmonary Artery Fontan Procedure Fontan procedure Arteriovenous Malformations Postoperative Complications medicine.artery Internal medicine medicine Humans cardiovascular diseases Cardiac catheterization Lung business.industry Venous blood Vascular surgery medicine.disease Cardiac surgery Surgery medicine.anatomical_structure Pulmonary Veins Child Preschool Pediatrics Perinatology and Child Health Pulmonary artery cardiovascular system Cardiology Polysplenia Cardiology and Cardiovascular Medicine business Liver Circulation |
| Zdroj: | Pediatric cardiology. 27(4) |
| ISSN: | 0172-0643 |
| Popis: | A 45-month-old boy who had complex cardiac anomalies with interrupted inferior vena cava and polysplenia underwent extracardiac Fontan operation. He redeveloped deep cyanosis postoperatively. Cardiac catheterization showed a preferential flow of the hepatic venous blood to the right lung and arteriovenous malformations (PAVMs) in the left lung. He underwent revision of the conduit to attain balanced hepatic venous drainage with subsequent regression of the PAVMs and disappearance of cyanosis. Our experience shows that deficiency of hepatic venous flow played a crucial role in the development of PAVMs and that redistribution of the flow retained potential to ameliorate the pathological condition. |
| Databáze: | OpenAIRE |
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