Document Detail

Development of bilateral diffuse pulmonary arteriovenous fistula after Fontan procedure: is there nonhepatic factor?
MedLine Citation:
PMID:  19632446     Owner:  NLM     Status:  MEDLINE    
The cause of pulmonary arteriovenous fistulas after a cavopulmonary anastomosis is not clearly known, but the previous studies regarding their causes have been focused mainly on the hepatic factors. We report two unusual Fontan cases with multiple bilateral pulmonary arteriovenous fistulas. One of them died of progressive hypoxia, and the other underwent multiple coiling. Our cases suggest that potentially lethal diffuse pulmonary arteriovenous fistulas may develop bilaterally in spite of balanced hepatic effluent flow to pulmonary circulation through factors other than a hepatic factor.
Bo Sang Kwon; Eun Jung Bae; Gi Beom Kim; Chung Il Noh; Jung Yun Choi; Yong Soo Yun
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  88     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-07-27     Completed Date:  2009-08-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  677-80     Citation Subset:  AIM; IM    
Department of Pediatrics, College of Medicine, Seoul National University, Seoul, Korea.
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MeSH Terms
Arteriovenous Fistula / physiopathology*,  radiography
Fatal Outcome
Fontan Procedure / adverse effects*
Liver Circulation / physiology
Postoperative Complications / physiopathology,  radiography
Pulmonary Artery / abnormalities*,  radiography
Pulmonary Veins / abnormalities*,  radiography
Vena Cava, Inferior / radiography

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