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Cardiology in the Young Cardiology in the Young

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Hepatic to azygos connection by autologous pericardial roll for Fontan completion

Published online by Cambridge University Press:  14 July 2020

Tao Shi ,
Zhan Gao  and
Zhongdong Hua [Opens in a new window]
Tao Shi
Affiliation:
Pediatric Cardiac Surgery Center, Fuwai Hospital, CAMS and PUMC, National Center for Cardiovascular Diseases, Beijing, China
Zhan Gao
Affiliation:
Pediatric Cardiac Surgery Center, Fuwai Hospital, CAMS and PUMC, National Center for Cardiovascular Diseases, Beijing, China
Zhongdong Hua
Affiliation:
Pediatric Cardiac Surgery Center, Fuwai Hospital, CAMS and PUMC, National Center for Cardiovascular Diseases, Beijing, China
Corresponding
E-mail address:
clusterheadache@126.com
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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.

Keywords

Hepatic-to-azygos connection autologous pericardial roll single ventricle interrupted inferior caval vein Fontan completion
Type
Brief Report
Information
Cardiology in the Young , Volume 30 , Issue 9 , September 2020 , pp. 1356 - 1357
Copyright
© The Author(s), 2020. Published by Cambridge University Press

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References

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Amodeo, A, Carlo, DD, Grigioni, M, et al.Early primary Kawashima operation combined with direct hepatic vein-to-azygos vein connection: a new logical approach. J Thorac Cardiovasc Surg 2005; 129: 949–950.CrossRefGoogle ScholarPubMed
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