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Fontan operation with bilateral conduits for the treatment of pulmonary arteriovenous fistulas in a patient with polysplenia after reconstruction of a non‐confluent pulmonary artery
Author(s) -
Tominaga Yuji,
Kawata Hiroaki,
Iwai Shigemitsu,
Yamauchi Sanae
Publication year - 2017
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.13137
Subject(s) - medicine , pulmonary artery , azygos vein , superior vena cava , left pulmonary artery , fontan procedure , right pulmonary artery , inferior vena cava , stenosis , surgery , vein , radiology , cardiology , ventricle
We describe a case involving a successful Fontan procedure for the treatment of pulmonary arteriovenous fistulas in a patient with polysplenia. The patient was diagnosed with bilateral superior vena cavae, interrupted inferior vena cava with azygos connection, wide separate hepatic veins, and central pulmonary artery stenosis following repair of a non‐confluent pulmonary artery. Bilateral extracardiac conduits were used to connect each hepatic vein to the pulmonary artery, opposite each superior vena cava. Clinical improvement in the pulmonary arteriovenous fistulas was observed within 4 months after surgery.