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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 Open the ORCID record for 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
*
Author for correspondence: Zhongdong Hua, Ward 3 of Pediatric Cardiac Surgery Center, Fuwai Hospital, No. 167 North Lishi Road, Xicheng District, Beijing100037, China. Tel: +86(10)88396555. E-mail: 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 connectionautologous pericardial rollsingle ventricleinterrupted inferior caval veinFontan 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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