| Development of pulmonary arteriovenous fistulas after bidirectional cavopulmonary shunt. | |
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MedLine Citation:
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PMID: 11156095 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: A high incidence of pulmonary arteriovenous fistulas (PAVF) has been reported after bidirectional cavopulmonary shunt (BCPS) or total cavopulmonary shunt (TCPS; BCPS in patients with interrupted inferior vena cava). However, the definite diagnostic criteria or standard diagnostic modality of PAVF has not yet been defined. The goal of this study was to evaluate the diagnostic modalities and the prevalence of PAVF. METHODS: We selected 10 patients with TCPS and 27 patients with BCPS. Lung perfusion scan, contrast echocardiogram, and pulmonary angiogram were performed. The results were compared among groups of patients and among each diagnostic modality. RESULTS: All 10 patients with TCPS and 16 and 13 patients with BCPS showed positive results on contrast echocardiograms and lung scans, respectively. Six patients with TCPS and 4 patients with BCPS showed positive results on pulmonary angiograms. All patients with TCPS developed subclinical or clinical PAVF and 19 patients with BCPS developed subclinical PAVF and none of them had clinical PAVF during the short-term follow-up. CONCLUSIONS: Most patients with bidirectional cavopulmonary anastomosis have subclinical evidence of right-to-left intrapulmonary shunting. This problem can be demonstrated with various diagnostic modalities. |
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Authors:
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S J Kim; E J Bae; D J Cho; I S Park; Y M Kim; W H Kim; S H Kim |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Annals of thoracic surgery Volume: 70 ISSN: 0003-4975 ISO Abbreviation: Ann. Thorac. Surg. Publication Date: 2000 Dec |
Date Detail:
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Created Date: 2001-01-11 Completed Date: 2001-02-01 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 15030100R Medline TA: Ann Thorac Surg Country: United States |
Other Details:
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Languages: eng Pagination: 1918-22 Citation Subset: AIM; IM |
Affiliation:
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Department of Pediatric Cardiology, Sejong Heart Institute, Sejong General Hospital, Puchon City, Korea. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Arteriovenous Fistula
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diagnosis*,
surgery Child Child, Preschool Diagnostic Imaging Female Follow-Up Studies Heart Bypass, Right* Heart Defects, Congenital / surgery* Humans Infant Male Postoperative Complications / diagnosis*, surgery Pulmonary Artery* / surgery Pulmonary Veins* / surgery* Reoperation |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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