Hepatic to azygos connection by autologous pericardial roll for Fontan completion

Abstract Techniques for performing the Fontan completion procedure after Kawashima procedure have developed in recent years. This paper presents a case in which we performed an off-pump hepatic-to-azygos connection by autologous pericardial roll via thoracotomy as a modified Fontan completion. The o...

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Published inCardiology in the young Vol. 30; no. 9; pp. 1356 - 1357
Main Authors Shi, Tao, Gao, Zhan, Hua, Zhongdong
Format Journal Article
LanguageEnglish
Published Cambridge Cambridge University Press 01.09.2020
Subjects
Anticoagulants
Fistula
Heart surgery
Liver
Medical imaging
Ostomy
Oxygen saturation
Pericardium
Prostheses
Pulmonary arteries
Veins & arteries
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Summary:Abstract Techniques for performing the Fontan completion procedure after Kawashima procedure have developed in recent years. This paper presents a case in which we performed an off-pump hepatic-to-azygos connection by autologous pericardial roll via thoracotomy as a modified Fontan completion. The operation wound was limited, and the short-term follow-up was satisfactory. Notably, it was found that the autologous pericardium might require a shorter period of anticoagulation treatment than what is needed for artificial prosthetic materials.
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ISSN:1047-9511
1467-1107
DOI:10.1017/S1047951120001961