| Thrombosis of intracardiac or extracardiac conduits after modified Fontan operation in patients with azygous continuation of the inferior vena cava. | |
| | |
MedLine Citation:
|
PMID: 11722058 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: The Fontan procedure in patients with azygous continuation of the inferior vena cava, requires a cavo-pulmonary anastomosis, and deviation of the hepatic venous drainage to the pulmonary arteries using an intra- or extracardiac conduit. METHODS: We report thrombosis of two pericardial conduits and one Gore-Tex (W. L. Gore & Assoc, Flagstaff, AZ) graft used for deviation of hepatic venous blood to the pulmonary arterial tree in 3 patients aged 11, 24, and 28 years. Two of the conduits (pericardial) were intraatrial. The Gore-Tex graft was placed in an extracardiac position. The two pericardial conduits obstructed completely. RESULTS: One patient died at reoperation. In the 2nd patient, the conduit was excised and the hepatic veins were allowed to drain into the atrium. In the 3rd patient, partial thrombosis of the Gore-Tex conduit was noted 30 months after operation. The thrombus resolved with oral anticoagulation. CONCLUSIONS: Conduits carrying only hepatic venous blood flow may have a higher risk of thrombosis. Anticoagulation or alternative methods of directing hepatic blood flow to the pulmonary circulation must be considered in these patients. |
| | |
Authors:
|
I E Konstantinov; F J Puga; V V Alexi-Meskishvili |
Related Documents
:
|
16133698 - Morphogenesis of an anomalous ligamentum venosum terminating in the superior left hepat... 1846238 - Hepatic arterial embolization in cases of extensive celiac arterial stenosis. 3107828 - Dsa--control of implanted devices for arterial hepatic perfusion. 1855518 - Perfusion characteristics of hepatic cavernous hemangioma using intravenous ct angiogra... 10477638 - A rational algorithm for duplex scan surveillance after carotid endarterectomy. 3192278 - Co-localization of terminal c5b-9 complement complexes and macrophages in human atheros... |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
Title: The Annals of thoracic surgery Volume: 72 ISSN: 0003-4975 ISO Abbreviation: Ann. Thorac. Surg. Publication Date: 2001 Nov |
Date Detail:
|
Created Date: 2001-11-27 Completed Date: 2002-01-31 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 15030100R Medline TA: Ann Thorac Surg Country: United States |
Other Details:
|
Languages: eng Pagination: 1641-4 Citation Subset: AIM; IM |
Affiliation:
|
Division of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota 55902, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Azygos Vein / abnormalities* Child Female Fontan Procedure / adverse effects* Humans Male Thrombosis / etiology* Vena Cava, Inferior / abnormalities* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Improving outcomes of the Fontan operation in children with atrial isomerism and heterotaxy syndrome...
Next Document: Correction of simple congenital heart defects in infants and children through a minithoracotomy.