Document Detail

The fenestrated Kawashima operation for single ventricle with interrupted inferior vena cava.
MedLine Citation:
PMID:  12537230     Owner:  NLM     Status:  MEDLINE    
An 8-month-old boy with double outlet right ventricle with hypoplastic left ventricle, heterotaxy, left atrial isomerism, bilateral superior vena cavae without bridging vein, and interruption of the inferior vena cava with azygous continuation to the left superior cava underwent a bilateral bidirectional cavopulmonary anastomosis. A calibrated 3-mm connection between the right pulmonary artery and the common atrium was constructed with the proximal right superior vena cava to allow right to left shunting, analogous to a fenestration in a Fontan operation. We hypothesize that in small young patients undergoing the Kawashima operation a fenestration may improve postoperative hemodynamics.
Robert L Hannan; Anthony F Rossi; David G Nykanen; Leo Lopez; Francisco Alonso; Jeffrey A White; Redmond P Burke
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  75     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2003 Jan 
Date Detail:
Created Date:  2003-01-22     Completed Date:  2003-02-13     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:  271-3     Citation Subset:  AIM; IM    
Division of Cardiovascular Surgery, Miami Children's Hospital, Miami, Florida 33155, USA.
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MeSH Terms
Cardiac Surgical Procedures / methods
Double Outlet Right Ventricle / surgery
Heart Septal Defects, Ventricular / surgery*
Pulmonary Artery / surgery
Vena Cava, Inferior / abnormalities*,  surgery

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