Document Detail

Kawashima procedure after staged unifocalizations in asplenia with major aortopulmonary collateral arteries.
MedLine Citation:
PMID:  20172172     Owner:  NLM     Status:  MEDLINE    
We report a Kawashima procedure (total cavopulmonary shunt) successfully carried out for asplenia syndrome, pulmonary atresia, and major aortopulmonary collateral arteries. At the age of 8, the patient underwent staged bilateral unifocalizations using confluent central pulmonary arteries concomitant with bilateral modified Blalock-Taussig shunts. As the result of an interrupted inferior vena cava with azygous continuation, the patient required a Kawashima procedure with augmentation of the central pulmonary arteries for definitive palliation 1 year later. Cyanosis, respiratory distress, and ventricular function improved.
Yukiko Ban; Mio Noma; Hitoshi Horigome; Hideyuki Kato; Chiho Tokunaga; Yuzuru Sakakibara; Yuji Hiramatsu
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  89     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-02-22     Completed Date:  2010-03-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  971-3     Citation Subset:  AIM; IM    
Copyright Information:
2010 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
Department of Cardiovascular Surgery, University of Tsukuba, Tsukuba, Japan.
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MeSH Terms
Aorta, Thoracic / abnormalities
Cardiovascular Surgical Procedures* / methods
Collateral Circulation*
Heart Bypass, Right*
Heart Defects, Congenital / surgery*
Pulmonary Artery / surgery*
Pulmonary Atresia / surgery*
Pulmonary Circulation*
Spleen / abnormalities*

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