A Pitfall in Ligation of Intrahepatic Shunting after Fontan Type Operation-Reference-Cited by-同舟云学术

A Pitfall in Ligation of Intrahepatic Shunting after Fontan Type Operation

Published:2006-02 Issue:1 Volume:14 Page:e6-e8
ISSN:0218-4923
Container-title:Asian Cardiovascular and Thoracic Annals
language:en
Short-container-title:Asian Cardiovasc Thorac Ann

Author:

Ikeda Akihiko,Hiramatsu Yuji,Horigome Hitoshi¹,Hori Tetsuo²,Noma Mio,Sakakibara Yuzuru

Affiliation:

1. Department of Pediatric Cardiology, University of Tsukuba, Tsukuba, Japan

2. Department of Pediatric Surgery, University of Tsukuba, Tsukuba, Japan

Abstract

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.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine,Pulmonary and Respiratory Medicine,General Medicine,Surgery

Link

http://journals.sagepub.com/doi/pdf/10.1177/021849230601400130

Reference6 articles.

1. Systemic and pulmonary venous connections in visceral heterotaxy with asplenia: Diagnostic and surgical considerations based on seventy-two autopsied cases

2. Accessory hepatic vein to pulmonary venous atrium as a cause of cyanosis after the Fontan operation

3. Intrahepatic venovenous shunting to an accessory hepatic vein after Fontan type operation

4. Surgical Ligation of Anomalous Hepatic Vein in a Case of Heterotaxy Syndrome with Massive Intrahepatic Shunting After Modified Fontan Operation

5. Massive intrahepatic shunting seen as severe cyanosis after the Fontan procedure in heterotaxy syndrome