Document Detail

A pitfall in ligation of intrahepatic shunting after Fontan type operation.
MedLine Citation:
PMID:  16432106     Owner:  NLM     Status:  MEDLINE    
An 8-year-old boy experienced progressive cyanosis after a Fontan type operation. Under the guidance of intraoperative color Doppler we performed a transabdominal ligation of the accessory hepatic veins which drained into a common atrium. Reoperation was needed through a median sternotomy to eliminate residual shunting. Although intraoperative Doppler is useful to aid in the ligation of accessory veins while portal hypertension is monitored, intraoperative angiogram serves better to ensure the elimination of intrahepatic shunting in a transabdominal approach.
Akihiko Ikeda; Yuji Hiramatsu; Hitoshi Horigome; Tetsuo Hori; Mio Noma; Yuzuru Sakakibara
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Asian cardiovascular & thoracic annals     Volume:  14     ISSN:  1816-5370     ISO Abbreviation:  Asian Cardiovasc Thorac Ann     Publication Date:  2006 Feb 
Date Detail:
Created Date:  2006-01-24     Completed Date:  2008-05-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9503417     Medline TA:  Asian Cardiovasc Thorac Ann     Country:  Singapore    
Other Details:
Languages:  eng     Pagination:  e6-8     Citation Subset:  IM    
Department of Cardiovascular Surgery, University of Tsukuba, Tsukuba, Japan.
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MeSH Terms
Cyanosis / etiology*
Fontan Procedure / adverse effects*,  methods
Hepatic Veins / abnormalities*,  surgery*,  ultrasonography
Ligation / adverse effects
Monitoring, Intraoperative / methods
Postoperative Complications / surgery
Ultrasonography, Doppler, Color

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