title: Intrahepatic venovenous shunting to an accessory hepatic vein after Fontan type operation.
abstract: Because there are various types of systemic venous connections in patients with visceral heterotaxy, unanticipated abnormal systemic venous channels may pose additional problems after a Fontan type operation. We report a case of severe cyanosis caused by anomalous intrahepatic venovenous fistula to an accessory hepatic vein early after total cavopulmonary anastomosis.
authors.affiliation: Department of Cardiothoracic Surgery, Kobe Children's Hospital, Japan. y-naoki@za2.so-net.ne.jp
authors.forename: N
authors.initials: N
authors.lastname: Yoshimura
authors.forename: M
authors.initials: M
authors.lastname: Yamaguchi
authors.forename: Y
authors.initials: Y
authors.lastname: Oshima
authors.forename: T
authors.initials: T
authors.lastname: Tei
authors.forename: K
authors.initials: K
authors.lastname: Ogawa
mesh_terms: D002648:Child; D003490:Cyanosis / Q000209:etiology*; D017809:Fatal Outcome; D018729:Fontan Procedure; D006503:Hepatic Veins / Q000002:abnormalities* / Q000601:surgery; D006801:Humans; D008026:Ligation; D008099:Liver / Q000098:blood supply*; D008297:Male; D010100:Oxygen / Q000097:blood; D011183:Postoperative Complications; D014262:Tricuspid Valve Insufficiency / Q000601:surgery; D016157:Vascular Fistula / Q000150:complications* / Q000601:surgery
chemical_list: D010100:Oxygen