Document Detail

Usefulness of intraoperative color doppler ultrasonography in decision making regarding conversion of an accessory hepatic vein after a Fontan-type operation.
MedLine Citation:
PMID:  15493069     Owner:  NLM     Status:  MEDLINE    
An accessory hepatic vein (AHV) after a Fontan-type operation will result in progressive desaturation if left intact. We report a case in which intraoperative color Doppler ultrasonography revealed the absence of AHV flow and reversed portal vein flow when the AHV was clamped, suggesting that simple ligation of the AHV would lead to liver dysfunction in the area affected. Based on the results of the ultrasonography evaluations, diversion of the AHV into the pulmonary circulation was performed without cardiopulmonary bypass, and the clinical outcome has been favorable.
K Maeda; A Murakami; T Takaoka; S Takamoto; K Sano; M Makuuchi
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pediatric cardiology     Volume:  25     ISSN:  0172-0643     ISO Abbreviation:  Pediatr Cardiol     Publication Date:    2004 Jul-Aug
Date Detail:
Created Date:  2004-10-19     Completed Date:  2005-09-08     Revised Date:  2008-02-20    
Medline Journal Info:
Nlm Unique ID:  8003849     Medline TA:  Pediatr Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  414-6     Citation Subset:  IM    
Department of Cardiothoracic Surgery, Graduate School of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan.
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MeSH Terms
Fontan Procedure*
Hepatic Veins / surgery*,  ultrasonography*
Intraoperative Care*
Liver / blood supply,  physiopathology,  ultrasonography
Liver Circulation / physiology
Portal Vein / surgery,  ultrasonography
Pulmonary Circulation / physiology
Ultrasonography, Doppler, Color*

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