HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Kaneko, Y. Articles by Takamoto, S. Search for Related Content PubMed PubMed Citation Articles by Kaneko, Y. Articles by Takamoto, S. Related Collections Congenital - cyanotic

Eur J Cardiothorac Surg 2002;21:582-584
© 2002 Elsevier Science NL

Case report

Hepatic vein-to-azygos vein connection in a patient with interrupted inferior vena cava

Department of Cardiothoracic Surgery, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan

Received 10 September 2001; received in revised form 28 November 2001; accepted 20 December 2001.

* Corresponding author. Department of Cardiovascular Surgery, Japanese Red Cross Medical Center, 4-1-22 Hiroo, Shibuya-ku, Tokyo 150-8935, Japan. Tel.: +81-3-3400-1311; fax: +81-3-3409-1604
e-mail: yukihirokaneko{at}hotmail.com

Massive systemic-to-hepatic venous collaterals developed in a 8-year-old boy with left isomerism and azygos connection of the inferior vena cava who had undergone total cavopulmonary shunt leaving the hepatic vein connected to the common atrium 5 years previously. A hepatic vein-to-azygos vein connection via an autologous pericardial roll successfully ameliorated cyanosis and physical activity. Hepatic vein-to-azygos vein connection is technically easy and is favorable in providing balanced distribution of hepatic venous blood to both lungs. We recommend this technique as an effective alternative to hepatic vein-to-pulmonary artery connection in patients developing collateral vessels after total cavopulmonary shunt.

Key Words: Fontan procedure/adverse effect • Heart atrium • Heart defect, congenital/surgery • Postoperative complications • Reoperation

This article has been cited by other articles:

				Y. Nakamura, T. Yagihara, K. Kagisaki, I. Hagino, and J. Kobayashi Pulmonary arteriovenous malformations after a Fontan operation in the left isomerism and absent inferior vena cava Eur. J. Cardiothorac. Surg., July 1, 2009; 36(1): 69 - 76. [Abstract] [Full Text] [PDF]

				A. Amodeo, D. Di Carlo, M. Grigioni, M. De Santis, and R. M. Di Donato Early primary Kawashima operation combined with direct hepatic vein-to-azygos vein connection: A new logical approach J. Thorac. Cardiovasc. Surg., April 1, 2005; 129(4): 949 - 950. [Full Text] [PDF]

				E. Aidala, E. Chiappa, M. T. Cascarano, A. Valori, and P. A. Abbruzzese Partial hepatic vein diversion in pulmonary arteriovenous malformations in congenital heart disease Ann. Thorac. Surg., September 1, 2004; 78(3): 1089 - 1090. [Abstract] [Full Text] [PDF]